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.

                      _____________________________________________________________