Pool Key Agreement

Address

Name

Phone Number

Email Address

Reason for New Key

Replace Lost Key

New Homeowner and/or pool key never issued

Other

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.

Yes

No

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.

Yes

No

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

Yes

No

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

Yes

No

agree to not make copies of this key

Yes

No

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.

Yes

No

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