Pool Key Request Form Resident Information Resident Name(s) (required) Property Street Address (required) Contact Email (required) Contact Phone (required) Reason for Key Issuance (required) New homeowner and/or pool key never issued in prior years Replace lost key Other If other, please explain: Which District do you reside? (required) BNC Metro District #1 BNC Metro District #2 Other Pool Key Acknowledgements I acknowledge that the pool key is property of the District. I also acknowledge that failure and/or the failure of our guests to follow the rules of the pool may result in the confiscation of this pool key. (required) Yes No I acknowledge that, in the event the pool key is lost or destroyed, a replacement key will be issued at a cost of $20 payable to the District. (required) Yes No I acknowledge that, per District policy, only one key is issued per household. (required) Yes No I agree to not share this pool key with anybody living outside of our household. (required) Yes No I agree to not make copies of this key (required) Yes No (IF REPLACEMENT ONLY) I agree to pay the District $20 for this replacement key. Further, I acknowledge that, upon receipt of the billing statement from the District, failure to pay the $20 replacement fee may result in the District levying fines and interest on my account. Yes No Resident Signature (required) There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
