ADDIE’S POND POOL RESERVATION REQUEST

• Complete and submit to Scott Anderson, 1185 Beebe Lane.

Name:________________________________________________________

Address: ______________________________________________________

Phone Number:_________________________________________________

Type of party:__________________________________________________

Estimated number of people:______________________________________

Date and Hours of reservation:______________________-______________

Signature:_____________________________________________________

Approved by : __________________________ Date: __________________

By signing this, I agree that I have read and understand the pool reservation rules. I agree to hold harmless the Addie’s Pond HOA for any
injury that might occur. I also agree that my group will abide by the posted pool rules.