Required fields are marked with asterisks (*)

Pool or Spa Opening Notification Form

(Ontario Regulation 565, Section 5)

Please Note: A pool or spa that has been closed more than four weeks, is a new build or undergoes construction/alteration is required to provide a notification of opening/reopening. Pools or spas may not open/reopen without notification to the Region of Waterloo Public Health and an inspection by a Public Health Inspector.

Facility Information

Class/Type of Facility

Spa/Whirlpool

Class A Public Pool (including cold plunge, hot water, flotation pools)

Class B Public Pool (including cold plunge, hot water, flotation pools)

Class C (public wading pools, splash pads, waterslide receiving basins, floatation tanks)

Facility Name

Site Address

Phone Number

Phone Number Extension (if applicable)

Owner Information

Owner Name

Owner Address

Owner Email Address

Phone Number

Phone Number Extension (if applicable)

Designated Operator Information

Operator Name

Operator Address

Operator Email Address

Phone Number

Phone Number Extension (if applicable)

Opening Information/Details

Is there a Building Permit Number available

Yes (required for new construction or alterations)

No

Intended Opening Date

City of Cambridge

City of Kitchener

City of Waterloo

Township of North Dumfries

Township of Wellesley

Township of Wilmot

Township of Woolwich