Key Card Request Form
Please complete form below to request a new key card OR if you are having issues with your card. Only one card per membership/family.
* Required
Email address
*
Your email
Date
*
MM
/
DD
/
YYYY
Member Name
*
First and last name please.
Your answer
Member #
1-3 digit number assigned when you joined the pool (this number never changes)
Your answer
Why are you requesting a replacement card?
*
Lost my card ($75 replacement fee)
My card isn't working. (Please KEEP YOUR CARD and input the tiny numbers below.)
Other:
If you have your card, provide the tiny digits on the bottom right corner of your card here.
The security company can look up your card to make sure it is activated.
Your answer
Send me a copy of my responses.
Submit
Never submit passwords through Google Forms.
Forms
reCAPTCHA
Privacy
Terms
This form was created inside of Lake Claire Pool.
Terms of Service