Pool Re-Opening Form

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You are required to notify the Health Unit a minimum of two weeks prior to the date you wish to open for the season.

Please submit this completed form to the Health Unit.

Class of Pool(Required)

Class A - Public, Recreational Camp, YM-YWCA

Class B - Hotel/Motel, Campground, Apartment

Re-Opening Date(Required)

Accordingly, I hereby request the required inspection by your office prior to the above date, this notification being confirmation that my pool will be so equipped and in such condition as to conform to the Regulation by that date.

Designated Operator of Pool(Required)

Date(Required)

Owner of Pool(Required)

Date(Required)

Name of Establishment(Required)

Address of Establishment(Required)

Street Address Address Line 2 City Province Postal Code

Phone(Required)

Email(Required)