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Amenity Access Form
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Name
*
First
Last
Date of Birth (If Over18) *
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Address
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
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Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Home Phone
Cell Phone
Email
*
Email
Confirm Email
Request Type
*
New Resident
Modify Existing Registration
Additional Residents (list name and birth date)
ACCEPTANCE
*
I aceept the statement below.
I acknowledge receipt of Facility Access Cards for the above listed residents and that the above information is true and correct. I understand that I have willingly provided all the information requested above and that it may be used by the District for various purposes.
I also understand that by providing this information that it may be accessed under public records laws.
I also understand that I am financially responsible for any damages caused by me, my family members or my guests and the damages resulting from the loss or theft of my or my family members’ Facility Access Cards. It is understood that Facility Access Cards are the property of the District and are non-transferable except in accordance with the District’s rules, policies and/or regulations. In consideration for the admittance of the above listed persons and their guests into the facilities owned and operated by the District, I agree to hold harmless and release the District, its agents, officers and employees from any and all liability for any injuries that might occur in conjunction with the use of any of the District’s amenity facilities (including but not limited to: swimming pools, basketball courts, fitness center, clubhouse facility, playground equipment, other facilities), as well while on the District’s property. Nothing herein shall be considered as a waiver of the District’s sovereign immunity or limits of liability beyond any statutory limited waiver of immunity or limits of liability which may have been adopted by the Florida Legislature in Section 768.28 Florida Statutes or other statute.
RECEIPT OF DISTRICT RULES & RATES:
*
I aceept the statement below.
I acknowledge that I have been provided and understand the terms in the Amenity Facility Policies. A copy of these policies can be found on the district website https://saddlecreekpreservecdd.com/
ACCEPTANCE date) Residents
Please refer to the Amenity Facility Policies for the most current policies regarding guests.
Upload: Warranty Deed or Lease Agreement
*
Click or drag a file to this area to upload.
Upload: Drivers Licenses (include photo IDs for all residents 18 years and older)
*
Click or drag files to this area to upload.
You can upload up to 6 files.
Submit