STAMP HERE
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
BEACH SEASON TAG FORM
APPLICANT INFORMATION
Name:
Address:
Email:
INDIVIDUAL INFORMATION
First Name
Tag #
Minor or Adult?
Female or Male?
Birth Date
1
2
3
4
5
6
Season Tag Policies
1. Family season tags are only sold to “families” as defined in the
Lincolnshire Village Code: “All adult persons residing in the same
household; and those minor children for whom the heads of
household have legal guardianship and who reside with that
guardian.”
2. Children, ages 10 and under, must be accompanied and
supervised by a tag-bearing person age 17 years or older. Daily
passes must be purchased at the park if such an “of-age” person
isn’t listed above.
3. Families may purchase a tag for babysitters, au pairs, and
nannies by showing the individual resides at the same residence.
All other addresses will require the purchase of an individual tag
for their address.
4. Tags are non-transferable. Only the person to whom the tag is
issued, as shown above, may use the tag.
5. Tags must be displayed and worn at all times when lifeguards
are present.
6. Beach patrons must abide by the beach rules as posted at the
beach
Beach Fees Season Tag
Resident, Individual (age 11+) $24
Resident, Family (max. 5) $60
Additional tags (each) $10
Non-Res, Individual (age 11+) $48
Non-Res, Family (Max. 5) $120
Additional tags (each) $20
Beach Fees Daily Passes
Resident $4
Non-Resident $8
Non-Res (guest of Season Tag) $4
SIGNATURE
I have read, understand, and am in compliance with the above policies. I also understand that should I
be found to be in non-compliance with the above, my beach privileges and tag(s) can and may be
revoked.
Signature: Date: d
INTERNAL USE ONLY
Sale Date:
Family / Individual
# Add’l Tags: Total Due: $
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signature
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