Pool Pass Form Test

PART A: Resident Information
WHC Address: (required)
Owner’s Name: (required)
Owner’s Address: (required)
Owner’s Home Phone: (required)
Owner’s Alternative Phone:
Owner’s E-mail Address: (required)
Resident’s E-mail Address:

CLICK ON A "CHOOSE FILE" BUTTON BELOW TO UPLOAD A PICTURE. YOU CAN UPLOAD UP TO 6 PICTURES. PLEASE NOTE THAT THE PICTURE FILE CAN NOT BE LARGER THAN 4 MEGABYTES. THE AVERAGE CAMERA WILL TAKE A PICTURE APPROXIMATELY 2 MEGABYTES IN SIZE.

Please take the picture(s) covering the area of the body as shown in the exanple below or we'll have to reject it because it won't work for the ID card.

PART C: Signature
Owner Signature-Change date to agree

Except for willful misconduct or gross negligence, the owner and/or tenant applicants agree to indemnify and hold harmless Westchester Hills Condominium, its officers, employees, agents or representatives, collectively the “Association”, from and against any and all claims or damages arising from the actions or failure to act by the association with respect to the operation of the swimming pool and related facilities. All residents and guests of this address agree to abide by the swimming pool rules and regulations for Westchester Hills Condominium. I confirm that all of the above residents (PART B) live at this address.

PART D: Tenant Information (if applicable)
Leaseholder’s Name(s):
Tenant’s Home Phone:
Tenants Alternate Phone:
Lease Term: To: (required)

Except for willful misconduct or gross negligence, the owner and/or tenant applicants agree to indemnify and hold harmless Westchester Hills Condominium, its officers, employees, agents or representatives, collectively the “Association”, from and against any and all claims or damages arising from the actions or failure to act by the Association with respect to the operation of the swimming pool and related facilities. All residents and guests of this address agree to abide by the swimming pool rules and regulations for Westchester Hills Condominium. I confirm that all of the above residents (PART B) live at this address per our rental agreement and are eligible to receive pool passes.
Tenant Signature-Change date to agree

Costs
Guest Pass | $15.00 for 10 Passes
REMEMBER: Application must be signed by the homeowner, or the tenant and homeowner, as applicable and your Common charges account must have a zero ($0.00) balance for access to the pool.

ADDENDUM TO WHC POOL RULES REGARDING COVID-19 PROCEDURES FOR USE OF WHC POOL:

NO GUESTS ALLOWED
NO PARTIES ALLOWED
NO BATHROOMS
NO ADMITTANCE WITHOUT A WHC POOL PASS
NO FOOD ALLOWED ANYWHERE IN POOL AREAS
NO POOL FURNITURE WILL BE PROVIDED BY WHC - bringing your own pool chair is allowed but you must take it with you when leaving
NO USE OF REC HALL
FACE COVERINGS ARE REQUIRED TO ENTER AND LEAVE THE POOL AREA

Before entering the pool and as part of the Pool Application, all patrons using the pool must agree and be able to testify to the following:

Access to the pool is not allowed if you can answer yes to any part of the following questions:

1-have or have had in the past 24 hours a cough, fever, shortness of breath or other symptoms of illness?
2-In the past 14 days, been in close contact with someone suspected or confirmed as having COVID-19?

YOUR POOL PASS should be placed on the table where the pool monitor sits so that your information can be recorded by the pool monitor. Do not touch anything on the pool table. Take your pool pass with you once your information has been recorded.

Social distancing by non-family members must be used at all times in order for the pool to remain open ; refusal to follow 6-ft social distancing when on the pool decks, hand sanitizing, and wearing of masks in any tightly confined spaces or when deemed necessary, may result in the closing of the pool.

Please be aware that WHC must adhere to and document hygiene and sanitation requirements from the Centers for Disease Control and Prevention (CDC) and Department of Health (DOH).

Regular cleaning and disinfection will be done after every two hour shift so the pool will be closed for an hour between each two hour shift.
We are limiting the number of patrons using the pools during each two hour shift.

Please read and understand this Addendum before pressing the "Send" button. By pressing the "Send" button you agree to all the terms of the addendum.