ASSIGNMENT OF RECREATIONAL RIGHTS

Property Address:

Property Owner Last Name:

Property Owner First Name:

Home Phone:

Work/Cell Phone:

Email Address:

First Name & Last Name

(property owner) on behalf of all owners of the above referenced property, hereby temporarily assign any right to receive an Access Card to the St. Vrain Lakes Metropolitan District No. 1 District Facilities to the following:

Name of Assignee(s)

First Name & Last Name

This temporary assignment shall be through:

(termination date)

The assignment may be revoked at any time, in the sole discretion of the property owner, upon written notice to St. Vrain Lakes Metropolitan District No. 1.

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

Date

NOTE: It will be the Assignee(s) responsibility to complete additional forms as required for Access Card issuance including but not limited to the Property/Owner Resident Form and Release Form.

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