Pool Use Waiver/Key Request
By selecting the "Submit" button, you are signing the pool use agreement electronically. Please enter all names of adults and minors you are signing this form on the behalf of in this form as well. Please note, the first key will be $10, charged to your Portal account. Replacements for lost/damaged keys will be $25.
Your Name
*
First Name
Last Name
Your Email
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you the owner of this home? (If you are NOT the owner, please contact your landlord and have them fill out the waiver on your behalf)
*
Yes
No
Adult Name
First Name
Last Name
Adult Name
First Name
Last Name
Adult Name
First Name
Last Name
Adult Name
First Name
Last Name
Minor Name
First Name
Last Name
Minor Name
First Name
Last Name
Minor Name
First Name
Last Name
Minor Name
First Name
Last Name
If there was not enough room above, please enter all other names of individuals you are signing this waiver for.
If someone other than you (the owner), will pick up the key, enter their name here.
First Name
Last Name
Signature
*
Clear
Submit
Should be Empty: