Pool Facility Usage Request

Please fill out the following information to request pool usage. Requests must be made at least a week in advance of the requested party date.

Pool Rules are posted in the pool area between the restrooms. Familiarize yourself with the rules prior to your party so you can receive your $25 deposit back. You will remit your deposit to a member of the pool committee upon approval of your event.

Please complete the form below

Homeowner Name

First Name

Last Name

Address

Email Address

Phone Number

Please indicate the date that you desire to have your party.

MM

DD

YYYY

Please select the time you wish to have your party:

9:00 am-noon

6:00-9:00pm

Other (based on Pool Committee approval)

How many attendees do you anticipate at your party?

Will you be serving food/drink?

Yes

No

I understand that alcohol is prohibited and not allowed in the pool or pool deck area

Yes

No

I understand that other members of the community are permitted to use the pool during my party.

Yes

Additional Comments