2021 PARKS AND RECREATION EMPLOYEE BENEFIT STATEMENT
Seasonal Employee
To participate in this program, please gain permission from your supervisor first with a signature below and then
contact Parks and Recreation located at 1340 Gunnison Avenue or call 254-3866.
2021 BENEFIT INFORMATION
• Seasonal employees need to work an average of 10 hours per week for the calendar year to qualify for this benefit.
• One access card per employee will be issued for Aquatics passes. Replacement cards or additional cards are $10 per card.
• Employee discounts will not be granted “at the door” of the facility without first obtaining the access card from Parks and Recreation Administration Office.
• 2020 benefits are available for use beginning January 1, 2021 through December 31, 2021.
• Full Time and Seasonal Employee Golf and Swim Benefits are classified as taxable fringe benefits according to the Internal Revenue Service (Publication 15-B). The City is required to tax the value of these discounts/benefits (the value of the pass minus the amount you paid) and report them as taxable income on the benefiting employee's W-2. For 2021, you will be taxed for the value of the discount in the pay period following the purchase of the Golf or Swim pass.
GOLF Birdie Pass - $35 Per Employee
• Employees will be able to play golf rounds at Tiara Rado and Lincoln Park for a discounted rate on green fees. Check the course rate sheet for more information.
• The golf benefit is for employee use ONLY and the access card must be shown for each tee time.
• Immediate family members will not receive the golf benefit.
AQUATICS - $25 Per Employee or Immediate Family Members living in the same household
• Eligible to receive an annual aquatics pass which costs $25 per person.
• Annual passes are available for the Lincoln Park-Moyer Pool and Orchard Mesa Pool.
• Aqua aerobics classes are included in the annual pass.
• Learn to Swim classes, waterslide, hot tub, etc. are not discounted and an access card does not account for these additional fees.
Supervisor Signature: ___________________________ Supervisor Printed Name: _____________________________
Supervisors Contact Phone Number: _________________
By signing this, supervisor is verifying that employee is working an average of 10 hours per week for the calendar year.
Please Print
Name: | Department: |
Birth Date: | Email: |
Mailing Address: |
City: | Zip: |
Home Phone: | Work Phone: |
|
Family members who wish to have a swim pass: | |
Family Member #1: | Birth Date: |
Relationship: |
|
Family Member #2: | Birth Date: |
Relationship: |
|
Family Member #3: | Birth Date: |
Relationship: |
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All fees are due at time of registration. All passes are nonrefundable.
Signature: | Date: |