MARCO ISLAND CIVIC ASSOCIATION

RESIDENTS’ BEACH

APPLICATION FOR TEMPORARY GUEST PASS

To Be Used 9/1/07-8/31/08

I am a member of the Marco Island Residents’ Beach. As a member of Residents’ Beach I understand that:

If a member is not on Marco Island but has an immediate family member staying in his Marco Island home, the member may request a temporary guest pass for a period of up to two weeks via mail or in person.

Fee Schedule: Up to seven (7) days - $40.00

Up to fourteen (14) days - $80.00

Please issue a Residents’ Beach temporary guest pass to the following member(s) of my immediate family:

____________________________________________________________

Relationship:_____________________________________________________________

For the time period (not longer than two weeks):

from _______________________ to _______________________

Included is my check for: $40 (one week) or $80 (two weeks) (Please circle one)

(If everything is in order and if the pass has been pre-paid, guest pass may be picked up at the MICA office Monday through Friday or at the Residents’ Beach gate house on Saturday and Sunday. Your guest must also present photo ID along with guest pass at the gate house on each visit.) Parking for guest pass holders is permitted 7 days per week, except from February 1 through March 30, when parking is permitted Monday through Friday only. Parking is not permitted on July 4. Guest pass holders may walk onto the Residents’ Beach property on Saturdays and Sundays from February 1 through March 30 and July 4. Payment may not be made at gate house. Parking is permitted seven days per week at Sarazen Park by guest placing guest pass on dash. Guest pass fees are non-refundable.

Individual presenting guest pass must be listed on pass and may also be asked to present photo identification. The guest pass is limited to six individuals.

UNDER PENALTY OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING APPLICATION AND THAT THE FACTS STATED IN IT ARE TRUE. ABUSE OF THE GUEST PASS RULES SUBJECTS THE MEMBER TO REVOCATION OF ALL GUEST PASS PRIVILEGES.

___________________________________________________ Residents’ Beach Member’s Signature

Please print: ___________________________________________________

Residents’ Beach Member’s Name

___________________________________________________

Marco Address

____________________________________________

Telephone No. & Fax No.

MICA Office: 1770 San Marco Road, #204

Marco Island, FL 34145

Phone: 239-642-7778

Fax: 239-642-8663

MARCO ISLAND RESIDENTS’ BEACH GUEST PRIVILEGES

As a member of the Marco Island Civic Association’s Residents’ Beach you are granted guest

privileges. The guest privileges and regulations are outlined for your convenience:

1. Each household membership is permitted a maximum of five guests per day.

2. Your windshield decal admits you and five others in your vehicle.

3. If your decal is not affixed to the windshield, or if you are walking or biking to the beach, you will be asked to show photo identification and your ID will be matched to the computer list. This allows you to also bring five others with you per day. (A copier is available at the guard house to photocopy your ID should you not wish to carry your original ID.)

4. If a member has a guest staying with him in his Marco Island home, the member can personally come to the MICA office from 9 a.m. to 5 p.m. on weekdays, complete a guest pass application, submit the fee, and obtain a pass for the guest. The pass will be in the guest’s name for the guest’s personal use without being with the member. A temporary guest pass may be issued for up to a two week period. The member can personally come in and renew the pass one time and submit the fee if the guest is staying with him in his Marco Island home for more than two weeks.

5. If the member is not on Marco Island but has an immediate family member staying in his Marco Island home, the member may request a temporary guest pass for a period of up to two weeks by completing a guest pass application via mail and submitting the fee. The guest pass is not renewable.

6. Fee schedule for guest passes: $30 up to seven (7) days, $60 up to fourteen (14) days.

7. Guest pass is limited to six individuals.

8. If everything on application is in order, guest pass may be picked up at the MICA office Monday through Friday or at the Residents’ Beach gate house on Saturday and Sunday, if the pass has been pre-paid. Your guest must also present photo ID along with guest pass at the gate house on each visit.

9. Parking at Residents’ Beach for guest pass holders is permitted seven days per week except from February 1 through March 30, when parking is permitted Monday through Friday only. No parking is permitted on July 4. Guest pass holders may walk onto the Residents’ Beach property on Saturdays and Sundays from February 1 through March 30. Parking at MICA’s Sarazen Park is permitted seven days per week, by placing the guest pass on the dashboard. Payment for guest pass may not be made at gate house.

10. No Guest Pass will be issued for a renter. Renters may purchase a membership if they produce a lease that is for a minimum of a two-month period.

11. Renters with a lease for a minimum of one month and up to two months may purchase a “walk on” membership. Car parking privileges are not available for this membership.

12. If a member has a special situation, every effort will be made to accommodate him within the above rules.

13. Guest pass fees are non-refundable.

I HAVE READ THE MARCO ISLAND RESIDENTS’ BEACH GUEST PASS RULES AND ACCEPT AND ACKNOWLEDGE ALL GUEST PASS RULES.

____________________________________ ______________________________________

Print Name of Residents’ Beach Member Signature of Residents’ Beach Member