Shelter Reservation

SHELTER AND CAMPING RESERVATION FORM
** Your POA Account must be paid in full to make a reservation **

Requested Shelter: check one:
Pool ShelterLake MelodyCampground (Lightner Fields - Primitive)

Enter email:

Reservation Date:

Beginning Time:

Ending Time:

Property Owner:

Phone:

Address:

Lot #:

Organization (if applicable):

Approximate # of people

Comments/Special Requests

By signing the above, I agree to be held responsible and see that gatherings are conducted as follows:

All music will end at a reasonable hour.
Any damages will be repaired at property owner’s expense.
Area will be cleaned up immediately following the event.
Consideration of neighboring property owners.
Guests will be charged appropriately.
Disorderly guests will be asked to leave or escorted from the premises.

Pool Address: 20698 Lakeview Drive
POA Office: (812) 537-3091

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