ST. VRAIN LAKES METROPOLITAN DISTRICT NO. 1 -PROPERTY OWNER/RESIDENT FORM

Property Address (required)

Owner/Resident Last Name (required)

Owner/ Resident First Name (required)

Home Phone (required)

Work/Cell Phone (required)

Birthdate (required)

2nd Owner/Resident Last Name (required)

2nd Owner/ Resident First Name (required)

Home Phone (required)

Work/Cell Phone (required)

Birthdate (required)

E-mail Address(s) for contact purposes (required)

Emergency Contact (Not Immediate Family) (required)

Emergency Contact Phone number (required)

NOTE: Minors must be accompanied by a Property Owner or another Additional Authorized User unless a Minor Release Form is on file with the Community Manager.

ADDITIONAL AUTHORIZED USERS

Includes: Adult Children (18+) Tenants/Renters Regularly Employed Caregivers (Nanny/Babysitter) Immediate Family Residing at Property Address (including grandparents/grandchildren) Others residing at your Property Address (Proof may be required) Additional Authorized Users Do NOT Include Guests. Additional guest passes may be purchased at The Cove during operational business hours. Please refer to the Recreation Amenity Fee Schedule for additional information. ALL ADULT ADDITIONAL AUTHORIZED USERS MUST COMPLETE AN ADDITIONAL AUTHORIZED USER FORM AND BE LISTED ON THIS PROPERTY OWNER FORM IN ORDER TO ACCESS THE RECREATION AMENITIES.

Authorized User Name (1)

Authorized User Relationship (1)

Authorized User Birthdate (1)

Authorized User Name (2)

Authorized User Relationship (2)

Authorized User Birthdate (2)

Authorized User Name (3)

Authorized User Relationship (3)

Authorized User Birthdate (3)

Authorized User Name (4)

Authorized User Relationship (4)

Authorized User Birthdate (4)

EACH PROPERTY OWNER/RESIDENT/AUTHORIZED USER MUST ALSO SIGN A RELEASE FORM

Please upload document to confirm ownership/resident status

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