Pool Access Cards

I hereby agree that I have read and understand the Country Lakes Pool Rules and release the Country Lakes Community, the Country Lakes Homeowners Association, and any Builders operating within the confines of the Country Lakes Community from any responsibility or liability regarding the use of the Amenities area and all its amenities at the Country Lakes Community. All of the before named may not be held liable for any person claiming any loss or damages including, without limitation, indirect, special, or consequential loss or damage arising from personal injury or death, destruction of property, trespass, loss of enjoying or any wrong or entitlement to remedy based upon, due to arising from, or otherwise relating to the design, construction, maintenance, or use of any amenity associated with the Country Lakes Community or Country Lakes Homeowners Association, including without limitation any arising in whole or in part from the negligence of the Country Lakes Community, the Country Lakes Homeowners Association, and any Builders. The undersigned also accepts responsibility for the care of these amenities, (pool, baby pool, pool safety equipment, etc.), while using the amenities and agrees to pay for any damages incurred by my family and/or guests during this time. I agree that when entering the pool facility, for security reasons, I will not allow others to enter behind my party without swiping their own personal access card.

Name:_____________________________________________

Phone:_____________________________

(please print)

Address:_______________________________ Card #(s):____________/_____________

Signature:_________________________________________

Date:_____________________________

If you are renting/leasing the home, please provide the name of the residence’s owner:

Please list all members of your household below:

_______________________________________________________________________________

_______________________________________________________________________________

Please return this page – completed and signed form to:

1240 Keller Parkway, Suite 200, Keller, Texas 76248 Or Fax 817-380-7011

 

 

 

If you are a new home owner and have never received a pool access card, please call 214-549-1427 to request a pool access card.

 

 

 

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FAILURE TO COMPLY WITH POOL RULES MAY RESULT IN THE REVOCATION OF POOL PRIVILEGES. IN THE CASE OF AN EMERGENCY – CALL 911

Only Country Lakes residents in good standing with the Homeowners Association will be permitted access to the facilities.

 

Please note a charge of $25.00 will be assessed for any replacement pass card(s) damaged, lost, stolen or missing.

 

VIOLATION OF POOL RULES MAY RESULT IN DISCONTINUED POOL PRIVILEGES

WARNING –NO LIFEGUARDS ON DUTY – SWIM AT YOUR OWN RISK

For Management Emergencies call 877-378-2388

For all other inquiries or management emergencies during normal hours please call 214-549-1427.