Membership Application

Primary Unit Owner Information
First Name*
Last Name*
Street Address*
City*
State*
Zip*
Main / Cell Phone*
Home Phone
Business Phone
Email*
Membership Information
Association*
Blue Heron Street Name*
Boulder Lake Village Building Number*
Laurelwoods Street Name*
Midlake Building Number*
Snow Ridge Village Street Name*
Unit Number*
Please enter a number from 1 to 9999.
Primary Members Full Names*
PLEASE LIST ALL NAMES OF PRIMARY MEMBERS ENTITLED TO PHOTO PASSES AS STATED IN THE PRIMARY MEMBERSHIP (USE THIS BLOCK FOR REGULAR (8) OR SMALL (2) UNIT MEMBERS).
Membership Type
Up to 8 picture ID Cards & 4 accompanied guest passes.
Initiation Fee Quantity
One-time fee IF RENEWED ANNUALLY
Price: $600.00
Season Renter Pass - Unit Specific Quantity
Cost is Per Person. Passes will automatically be revoked if they are used for a different unit other than unit purchased. Maximum number is 12 per unit.
Price: $125.00
Season Kayak/Canoe Rack Quantity
Price: $250.00
Season Boat Slip Quantity
(Small/Fishing Boat; motor/battery storage included)
Price: $625.00
Season Pontoon Boat Slip Quantity
Price: $800.00
Canoe/Kayak Quantity
Price: $200.00
Small Fishing Boat Inside (first come first served) Quantity
Price: $600.00
Small Fishing Boat Outside Quantity
Price: $550.00
Pontoon Boat Inside Storage (first come first served) Quantity
Price: $900.00
Pontoon Boat Outside Storage Quantity
Price: $700.00
Trailer Rental Quantity
Price: $200.00
Total
$0.00
By submitting this application with payment, I hereby agree to the Boulder Lake Club rules and understand that my Club privileges may be suspended, cancelled or denied due to failure to comply with club rules posted throughout the complex. Membership fees paid to date will be forfeited and membership may or may not be reconsidered in subsequent years.
Terms Acknowledgement & Agreement*
I have read and agree to the Terms and Conditions for BLC Membership
Signature*
Name
This field is for validation purposes and should be left unchanged.

Membership Application

Primary Unit Owner Information

Membership Information

Club Season

Operating Hours

Location

Mailing Address