St. Henry, OH · Mercer County
Family Pool Pass
This form records household members and contact details for a family pool pass, for families applying for a pass in St. Henry.
What this form is
The Family Pool Pass form records the last name, immediate family members, address, phone numbers, and emergency contact information for a pool pass. It also has fields for pass number and payment, and lists extra charges for grandparents and a babysitter. The form does not state when the city requires it or provide instructions for submitting it.
Who needs it
Families seeking a pool pass can use this form to list immediate family members and provide payment and emergency contact details.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
No notary is required; the form lists no sworn attachment or related notarized step, and it contains no signature or date field.
How to submit this form
- 1
Download The Form
Download the Family Pool Pass PDF.
- 2
Complete The Form
Enter the last name, family members, address, phone numbers, emergency contact, and payment information.
- 3
Check For Attachments
The form does not list any attachments to gather.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Family Pool Pass form request?
- It requests a last name, immediate family members, address, home and work phone numbers, an emergency contact, and payment information.
- Does the form list extra charges?
- Yes. It lists an extra charge per grandparent and a separate extra charge for a babysitter.
- Do I need a notary for the Family Pool Pass?
- No. The form lists no sworn attachment or related notarized step, and it contains no signature or date field.
- How do I submit the Family Pool Pass form?
- The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.