Village of Spencerville
Pool Rental Agreement
Contact Information:
Name: _____________________________________________ Organization: _______________________________
Address: _________________________________ City: ____________________________________ Zip: ___________
Phone (H): ________________________ Phone (C): ___________________________ Phone (W):__________________
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RENTAL INFORMATION:
Date of Rental: _____________________ Rain/alternate date: ________________ # of Guests Expected: ____________
PRIVATE RENTAL ____ Rental times are either 2 hours or 3 hours long. Fee of $80.00 for 2 hour party or $100.00 for 3 hour party includes admission for up to 75 guests, each additional guest over 75 is $2.00. All guests (swimmers or non-swimmers) attending the rental are included in the head count. Full payment is due at the time of the reservation. All reservations shall be made at least 1 week in advance. In the event of a cancellation, a 48 hour advanced notice is required.
___ Monday – Saturday (7 to 9:00 p.m.) or (7 to 10:00 p.m.) ____ Sunday (6 to 8:00 p.m.) or (6 to 9:00 p.m.)
REFUND POLICY:
Refunds will only be granted if a 48 hour advanced notice is received; alternate date shall be utilized during inclement weather. _____________________________________________________________________________________
AGREEMENT/PAYMENT INFORMATION:
By signing this form, I acknowledge that I have read and agree to abide by all Village of Spencerville Pool rules and regulations.
Signature: __________________________________________________ Date: _______________________
Payment Amount $: ______________ Check Payable to Village of Spencerville (ck#: _____) or Cash Payment
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OFFICE USE ONLY
Reservation #: ___________________
Receipt Number: __________________
Total Number of Guests: ________________
Type: | Rental Fee: | Additional Fee: | Total Payment Due: | Amount Received: | |
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Application Approved: ___ Yes ___ No Date Approved: _________________ | |||||
If not, please specify: ___________________________________________________________ | |||||
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Manager Signature:_____________________________________________ | Date:________________ | ||||
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