Pool Rental Application

Name of Individual Renting the Pool *
Address *
Email Address
Are you a member of The Pines Country Club? *	Yes No
If so, what is your member number
Phone Number *
Alternate Phone Number
Request Date for Party *
Time *	9am-11am 7pm-9pm
Age group attending *
Approximate guest count *
Please check to approve: These services need to be arranged with the food and beverage provider for The Pines Country Club. All food and beverages shall be purchased from the Pines Country Club restaurant. *	I agree
You are responsible for cleaning up after the pool party. Lifeguards will be provided based on the number of attendees and Department Regulations. Lifeguards are required. *	I agree

This request is only confirmed based on the Head Committee Pool Chair's Approval and the Head Lifeguard's Aknowledgement