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1915 Lucas Avenue Cottekill NY 12419 Tara Burke Recreation Director Phone 845 658-8198 rosendalerecreation gmail.com Pool Membership 2017 Name Member Address City State Zip Phone Email Membership Type Please circle resident status/fee Family resident 200. 00 For a family of 3 w/ 25. 00each add. non-resident 300. 00 Individual Senior 65 Dependents Age Gender I wish to apply for membership at the Rosendale Recreation Center Pool Facility. I have read and will abide by the Pool Rules see...

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