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TOTA Resident request for Pool Pass[es] Season.

 

Are you the:       OWNER?_____________  or do you    RENT?_____________

 

Please fill in the following information for your Pool Pass.

Return the form along with a 1 inch  by  1 inch  face picture

of each person listed to the Lifeguard on desk duty.

 

Your address:  _______________________________________________________________

 

    First Name                                 Last Name                                                     Birthdate                                                         

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please supply applicant’s contact information.

 

Telephone #: _____________________________________________________________

 

e-Mail address:___________________________________________________________

 

Questions, please contact the Board of Directors at: www.totanews.net


Property owner’s Waiver of Pool Rights, for  the Season. [____________] enter date

 

I, _________________________________________, owner of the above address, do

                      [please print name]

waive my rights to the pool.  Please allow my tenants, listed above, the privilege of using the pool in my stead.

 

                      _____________________________________________________________

                                [signature of owner]                    [owner’s telephone #]

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