* Community: [ required ][ 2 char min ]

Unit: [ required ][ 2 char min ]

POOL REGISTRATION FORM USE
This form must be completed and returned to the Management Company, and all delinquent accounts must be current before pool passes will be issued. We ask that you please use this form to request new or additional pool passes.

OWNER / TENANT CONTACT INFO

* Full Name: [ required ][ 2 char min ]

* Address: [ required ][ 2 char min ]

* City: [ required ][ 2 char min ]

* State: Select A State... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming [ required ]

* Zip Code: [ required ][ invalid format ]

* Home Phone: [ required ][ invalid format ]

* Work Phone: [ required ][ invalid format ]

* E-Mail Address: [ required ][ invalid format ]

* Confirm E-Mail: [ required ][ email must match ]

IMPORTANT
Please check below. Would the Investor/Owner like their tenant to have the 2 free pool passes? Otherwise the tenant is responsible to purchase the passes.

Yes (For Free)  [ select one ] No (Tenant Must Pay)

* Number of Pool Passes: [ required ][ 2 char min ][ invalid format ]

POOL PASS INFO (* SEE TERMS BELOW)

* Pass User #1 Full Name: [ required ][ 2 char min ]

Pass User #2 Full Name: [ required ][ 2 char min ]

Pass User #3 Full Name: [ required ][ 2 char min ]

Pass User #4 Full Name: [ required ][ 2 char min ]

Pass User #5 Full Name: [ required ][ 2 char min ]

Pass User #6 Full Name: [ required ][ 2 char min ]

AGREEMENT
I hereby agree on behalf of myself, my family, my tenant(s) and guest(s) to abide by all Rules and Regulations of the Condominium Association, the rules of the pool, and the directive of the life guards. Furthermore, I agree that my membership may be suspended at any time if the Unit/Investor owner fails to pay condominium fees or charges on the account, or if I, my tenant(s), or my guest(s) do not obey the Condominium or pool rules, without refund of any fees collected for the season.

(*) Only 2 free passes per unit, see fee schedule for additional passes. All pool passes are issued through the Management Company, not the lifeguards. Pool passes are only valid for those names listed on the guard. Those persons without pool passes must pay $6.00 at the gate to the lifeguard. Guests must be accompanied by a responsible adult over the age of 18. Pool passes may not be transferred or shared with others. Failure to comply with the rules mentioned above or the Condominium Rules and the Pool Rules will result in a loss of membership to the pool.

SIGNATURE

* Signature: [ required ][ match name ]

* I AGREE [ required ]

By checking the box above I agree to have read and understand all the terms and conditions listed on this form and authorize my signature.