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Pool Table Rental Request

2. 

4. Renter is responsible for contacting the Recreation Center for payment. If payment is not received two weeks prior to the event, reservation will be cancelled. No Rentals for Holidays or Holiday Weekends.

   Renter is responsible for contacting the Recreation Center for payment. If payment is not received two weeks prior to the event, reservation will be cancelled. No Rentals for Holidays or Holiday Weekends.

6. First Name*

7. Last Name*

9. Address1*

11. Address2

13. City*

14. State*

15. Zip*

17. Date of Birth:*

18. Phone number:*

19. E-mail:*

21. Facility Requested*

    1. Bellaire Family Aquatic Center

    1. Evergreen Pool

23. Date and Time Requested:*
    Date and Time Requested: Start Date

    Date and Time Requested: Start Time

    —

    Date and Time Requested: End Date

    Date and Time Requested: End Time

    During operating hours ONLY. Minimum 2-hours (1- Hour Increments Only).

25. Total Number Of Guest:*

    MAX 25 (INCLUDE ALL NON-SWIMMERS).

26. Number of Tables Requested:*
    -- Select One --234

28. Number of wristbands you want to purchase in advance:*
    -- Select One --010152025

    Wristbands may NOT be purchased the day of. Wristbands may be picked up once the signed permit and full balance has been paid.

30. Questions or Comments:

Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

* indicates a required field