Welcome to Waterbury Cove!

Youth Pool Pass online

POOL PASS APPLICATION ONLINE - COMPLETE REQUIRED INFORMATION AND ENTER SUBMIT BUTTON AT END OF APPLICATION

Youth Pool Pass Application Ages 13-17
(cannot bring guest or family members under age 13)

Note:  only complete fields marked with (*)




I, (the youth named on this form), understand that this pass has been granted to me as a privilege and will be revoked if I do not abide by all pool rules.  It is my responsibility to make sure that my pass remains with me and visible at all times.  If I should take a guest or family member (must be age 13 or older), it is my responsibility to make sure they understand and abide by all rules.  I understand that a $5.00 fee will be charged for a lost pool pass.  I also understand that if I should loose my pass a second time, my youth pool privileges could be revoked.



I, (the above signed parent/guardian), give my permission for my youth to receive a "Youth Pool Pass" and certify their age as listed on this form is correct, which my permission allows my youth to use the Waterbury Cove Subdivision pool without adult supervision.  I understand that no lifeguard or adult will be on duty.  I believe that my youth has the maturity to handle this responsibility.  The birth date listed above is accurate.



Note to Parent/Guardian:  We recommend that your youth carry an emergency phone number while at the pool.  You can have tags printed at most local mail or pet shops which can be added to the pool pass band.

As a youth resident of Waterbury Cove with a Pool Pass, your youth is allowed to bring other guests who are at least 13 years of age, with a maximum of 5 youth guests per household.  Please make sure the parents/guardians of all youth guests are aware there is no life guard on duty.



(Finish by CLICKING THE SUBMIT BUTTON BELOW)