Form Entry - Pool Key Agreement

Property Street Address:

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Resident Name(s):

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Contact Phone:

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Contact email:

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Reason for Key Issuance

New homeowner and/or pool key never issued in prior yearsReplace lost keyOther (Please explain below)

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Other

The following acknowledgements must all be marked “yes” before a pool key will be issued:

YesNo

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I acknowledge that the pool key is property of the District. I also acknowledge that failure and/or the failure
of our guests to follow the rules of the pool may result in the confiscation of this pool key.

YesNo

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I acknowledge that, in the event the pool key is lost or destroyed, a replacement key will be issued at a cost of
$20 payable to the District.

YesNo

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I acknowledge that, per District policy, only one key is issued per household.

YesNo

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I agree to not share this pool key with anybody living outside of our household.

YesNo

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I agree to not make copies of this key

Additional acknowledgement for issuance of a replacement key (Leave blank if not requesting a replacement key)

YesNo

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I agree to pay the District $20 for this replacement key. Further, I acknowledge that, upon receipt of the billing statement from the
District, failure to pay the $20 replacement fee may result in the District levying fines and interest on my account.

By clicking submit, you agree to the terms of this form

NOTE: Pool keys will be issued and available for pick up from the gate monitor at the pool within 5 days after the pool key application is submitted online.