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2. 
3. Vernon Township Pool Rental Request

   Fill out this form to rent the Vernon Township Pool. 16652 N. Buffalo Grove Rd. Vernon Hills, IL 60061

   2 Hour time block on Saturday or Sunday only 

   Morning time block: 9:45am-11:45am

   Evening time block: 6:15pm-8:15pm

   Please answer all questions below, contact Chris@vernontownship.com with any questions.

   
   

5. Name of Primary Contact*
6. Organization Name( If Applicable)
8. Address*
10. City*
11. State*
12. Zip Code*
14. Phone Number*
15. Email Address*
17. Type of Event: *
18. Estimated # of Guests: Over 50 will require an extra lifeguard fee of $75*
20. Dates and Times

    Vernon Township Pool is available for rent:

    2 Hour time block on Saturday or Sunday only 

    Morning time block: 9:45am-11:45am

    Evening time block: 6:15pm-8:15pm

    
    

22. Date and Time Requested*
    Date and Time Requested

    Date and Time Requested
24. Alternate Date if First Is Unavailable
    Alternate Date if First Is Unavailable

    Alternate Date if First Is Unavailable
26. Rental Options: Please only select 1*

    1. Entire Facility
    2. Main Pool
    3. Kiddie Pool

    Entire Facility(Includes main pool, water slide and kiddie pool): $500, Non-Resident $625

    Main pool only(Includes water slide): $350, Non-Resident $437.50

    Kiddie pool only: $200, Non-Resident $250

28. Will food be served?*

    1. Yes

    1. No
29. Will there be outside entertainment? Please explain.

    If you are requesting outside entertainment, any set-up and/or clean-up time MUST be included in your rental time.

31. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, 3) you may still be required to provide a traditional signature at a later date, 4) you have read and agree to abide by Vernon Township Facility Rules & Regulations, and 5) you understand that your rental includes the reserved space and access to tables, chairs, and minor accessories as described, but does not include event coordination, party planning, catering, or on-site staff.

    1. I agree.
33. Electronic Signature*
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

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