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Pool Card/Key Request
Wheatstone Village Does Not Employ Lifeguards. Swim at Your Own Risk
Name of Resident
Name of Homeowner
(if other than resident)
Resident Street Address
Home Phone
Work Phone
E-mail Address
Please Select New or Replacement Card or Key
New
Card/Key
Replacement
Card or
Key
There is a $10.00 non-refundable fee per replacement card or key (Total fee for both - $20.00)
List all Family Members:
Adult Names
Children Names and Age
Emergency Phone Numbers
(name, relationship and phone)
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