St. Vrain Lakes Metropolitan District No. 1 Outside User Information Form Home Address City State —Please choose an option—AKALAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip User Last Name User First Name Home Phone Cell Phone Birthday User Last Name User First Name Home Phone Cell Phone Birthday Email for contact purposes Emergency Contanct (Not Immediate Family) Emergency Contact Telphone NOTE: Minors must be accompanied by a User unless a Minor Release Form is on file with the District Manager. EACH OUTSIDE USER MUST ALSO SIGN A WAIVER AND CONSENT FORM