Pool Rolodex Form
   
   
Last.Name
_______________
First Name
_______________
Spouse
_______________
   
    Address
________________________________________________________________________
   
    Home Phone _______________
Your Work Phone
_______________
Spouse's Work Phone
_______________    
    Emergency Contact ___________________________________________
Emergency
Phone
_______________
   
    Children:    
   
Name ______________________________ Complete Birth Date __________________________
Name ______________________________ Complete Birth Date __________________________
Name ______________________________ Complete Birth Date __________________________
Name ______________________________ Complete Birth Date __________________________
Name ______________________________ Complete Birth Date __________________________
   
    Please attach a wallet-size photo of each child from the ages of 5 through 18. Write the child's name and birth date on the back so the picture may be attached to the pool Rolodex file card.    
       
Return to: Pool Guards, or
Kristin Thomas
6615 Rippling Hollow Drive
Questions concerning Pool Admittance should be left on the SCF Voice Mail at 281-370-4729