Dock Wait List Form

Property Owners Association

Dock Waiting List Request
This form is not valid for lakefront homeowners.
Name
Mailing Address
Lot Number
Cell Phone

Area CodePhone Number
Email
example@example.com
Your dues must be current to be placed on the list and to remain on the list. Only ONE registered watercraft per dock may occupy each rental space.
Please add my name to the following dock waiting list(s):
Dock space is assigned to property owners in good standing based on previous rental and availability. Pontoon dock space may require a longer wait. If payment is not received from current dock renters, docks will be assigned to those on the waiting list. Kayak racks are part of the Dock Renewal Form that will be sent out.

Dock space will not be held after the announced deadline each year.

Previous dock renters have first priority and have until the announced deadline to reserve their space. We will not know until after that date which spaces may be available. We will contact you!

This form is not valid without POA staff date/time stamp and signature.
Applicant's Signature
Date Signed

MonthDayYear
Date
Hidden Valley Lake POA 19303 Schmarr Drive, Lawrenceburg, IN 47025 (812) 537-3091 or FAX: (812) 537-1521
Should be Empty:

Property Owners Association