TWIN OAKS COMMUNITY

By and between TWIN OAKS COMMUNITY, INCORPORATED (hereinafter referred to as "the Community"), a corporation existing under the laws of the State of Virginia and having its main place of business at Route 4, Box 169, Louisa, Virginia, and

(hereinafter referred to as "Applicant" or "the member" or "co").

WITNESSETH THAT:

WHEREAS Applicant intends to apply for full membership in the Community and wishes to become a provisional member in trial and preparation therefor, and

WHEREAS the Community is willing to accept Applicant as a provisional member under the terms and conditions of its Bylaws and as hereinafter set forth,

WHEREAS Applicant is currently a member of the Community and herewith reaffirms cos membership in the Community and replaces cos existing membership agreement with this agreement,

NOW THEREFORE, the Community agrees that Applicant is a provisional member of the Community and shall have available to co all the Community's benefits as set forth in this Agreement and in the Bylaws of Twin Oaks Community, Incorporated (including the care and education of cos minor dependents resident in the Community), as far and as well as the Community is reasonably able to provide such benefits, in return for which Applicant promises to abide by the following:

NOW THEREFORE, the Community agrees that Applicant is a member of the Community who is herewith replacing cos existing membership agreement, and that co, shall have available to co all the Community's benefits as set forth in this Agreement and in the Bylaws of Twin Oaks Community, Incorporated (including the care and education of cos minor dependents resident in the Community), as far and as well as the Community is reasonably able to provide such benefits, in return for which Applicant promises to abide by the following:

1. Work: Co will do cos fair share of the work of the Community, such fair share to be defined by the regulations, policies, and general practices of the Community. Co understands and agrees that all labor contributed by co is part of cos obligation as a member, or if above and beyond said obligation, is a voluntary contribution to the Community, and that it is not done for wages or compensation of any kind. The Community is not the member's employer; the member is not the Community's employee. Applicant hereby accepts the benefits and privileges of membership in partnership with all other members as full compensation for all services performed by Applicant for or on behalf of the Community during cos period of membership, and hereby agrees and acknowledges that co has no claim, other than such benefits and privileges, against the Community or in or to any property of the Community on account of such services.

2. Rules: Co will conduct coself according to the duly adopted rules, policies, and procedures of the Community as they exist at the time of this Agreement and as they may, by Community decision, change from time to time. In particular, co has read, understands, and agrees to abide by the Bylaws of Twin Oaks Community, Incorporated (hereinafter "the Bylaws"), which by reference are made a part of this document.

3. Community Property: All property of the Community--whether real or personal, whether tangible or intangible, and whether or not arising out of a donation to the Community--that is assigned by the Community to Applicant for cos personal use during cos membership remains the Community's property, and Applicant waives any and all claim to such property during or after cos membership.

4. Children: If Applicant has custody of a minor child or children, whether as parent or guardian or otherwise at the time of this Agreement, and/or if, while a member, co comes to have such custody whether by birth or otherwise, and if both Applicant and the Community agree that said minor child shall reside in the Community, then co agrees and consents to the care, education, and discipline of any such children by the Community, so long as co remains a member, in accordance with the community's policies, procedures, and goals; and co absolves the Community of all responsibility to co for all reasonable and lawful consequences of said care, education, and discipline.

5. Assets: Co will fulfill cos obligations under the Property Code as set forth in the Bylaws, including lending and listing of the applicable assets in paragraph 9 of this Agreement as provided in said Property Code.

6. Medical and Dental:

A. Definitions:

(1) In this paragraph, "the Community" shall mean the governing body of the Community or any group or person appointed by the governing body for the purposes specified.

(2) "Payment contract" shall mean any agreement for repayment, including a contract which reduces the amount owed to the Community by Applicant by a formula related to duration of membership and requires the balance to be paid on or after termination of membership.

B. Before taking up residence as a member:

(1) Applicant will either give evidence of a clean bill of health and good dental upkeep or discuss health and dental problems with the Community.

(2) Treatable existing conditions will either be treated before provisional membership begins or arrangement for reimbursement of the Community for these treatments will be made, including payment from Applicant's member loan or capital assets, if any, or payment by a payment contract as defined in Paragraph A(2) above, unless the Community agrees otherwise.

(3) Chronic or long-standing conditions will be discussed by the Community and the Community may at its discretion assume some responsibility for treatment and execute a contract specifying or limiting same, in the absence of which, Applicant shall have responsibility, and may pay for expense of treatment from cos member loan or capital assets, if any. The Community may also, at its discretion, agree to a payment contract as defined in Paragraph A(2) above

C. During Provisional Membership:

(1) The Community will provide, free of charge "to Applicant, emergency medical and dental care for Applicant and Applicant's minor dependents resident in the Community, including expenses attendant on accidents or illness. (

2) Preventative medical and dental care and treatment of pre-existing conditions will be covered by a payment contract if approved by the Community or may be paid for from Applicant's capital assets or member loan, if any.

D. During Full Membership:

(1) The Community will provide, free of charge to Applicant, medical care for co and cos minor dependents resident in the Community, including the payment of expenses attendant upon illness and accident and outline and emergency dental work including fillings.

(2) Major dental work, pregnancy and parturition expenses, and treatment deemed elective by the Community: The Community may require that all or part of such expense be repaid by Applicant at or after the termination of cos membership, the amount and terms of such repayment to be specified in a note signed by co, in accordance with Community policy at the time of treatment.

7. Insurance Policies: Fully paid insurance policies are considered to be capital assets, and are subject to the provisions of Article IV, Paragraph Two (B) of the Bylaws. Policies that are not fully paid may be continued with the premiums coming out of Applicant's member loan. The Community is not responsible for premium payments on any insurance policy; however, the Community may at its discretion execute a written agreement with co to make such payments.

8. This Agreement supersedes and replaces any previous membership agreement made between Applicant and the Community.

9. Attached as Schedule A is a schedule of the grand personal property, capital assets, outstanding debts, and unearned income of Applicant, with a timetable for returning assets loaned to the Community.

* * * * * * * * * * * * * *

Applicant, desiring to reaffirm cos membership in the Community as a ______________ member and replace and supersede cos existing membership agreement with this agreement, hereby executes this membership agreement as of this day of ___________,

____________________ Date_______________

Applicant

___________________ ________________________

Witness for Twin Oaks Community, Inc. (an officer or member of the Board of Directors)

* * * * * * * * * *

This Agreement and Applicant's provisional membership begin as of the day of

________ Date_______________

Applicant

___________________ ________________________

Witness for Twin Oaks Community, Inc. (an officer or member of the Board of Directors)

* * * * * * * * * *

Applicant, having been a provisional member for the required length of time, and having been duly approved for full membership by the Community, begins cos full membership as of the day of

Date_______________

Applicant

___________________ ________________________

Witness for Twin Oaks Community, Inc. (an officer or member of the Board of Directors)

ceases to be a member of Twin Oaks Community as of the

day of

Date_______________ Applicant

___________________ ________________________

Witness for Twin Oaks Community, Inc. (an officer or member of the Board of Directors)

2l July 1989

SCHEDULE OF ASSETS

SCHEDULE A OF MEMBERSHIP AGREEMENT

Assets to be lent to the Community during membership, without interest or other compensation for the use thereof, per Article IV, Paragraph Two(A) and (B) of the Bylaws:

Assets to be retained by member during membership, per Article IV, Paragraph Two(A) and (B) of the Bylaws:

Outstanding debts of member, per Article IV, Paragraph Three(B)(1) of the Bylaws:

Unearned income of member, per Article IV, Paragraph Three(A)(3) of the Bylaws:

Schedule for returning assets borrowed by the Community to members:

This schedule of assets supersedes any previous schedule of assets attached to this membership agreement.

Date_______________

Applicant

___________________ ________________________

Witness for Twin Oaks Community, Inc. (an officer or member of the Board of Directors)