POOL RENTAL

Jackson Recreational Department

Contact information: ____________________________________________________________
What type of event is this? Swimming Race

Triathlon Birthday Party Fitness Class Recreational Swimming Other

Organization type: Student Organization University Department Community Group Other

*If student organization: Advisors contact information: ________________________________
Sponsoring Organization: ________________________________________________________
Number of participating individuals:________________________________________________
Start date of event: ____________________ End date of event: _________________________
Time event will run:____________________________________________________________
Proof of insurance?_____________________________________________________________
Is the event open to the public?____________________________________________________
Will admission/a fee be charged? __________________________________________________
Will any items be given away/sold? ________________________________________________
Will vendors be contracted? ______________________________________________________
Will food/beverages be given away/sold? ____________________________________________
Will tables/chairs be necessary? How many? _________________________________________
Will there be decorations/lighting/music?____________________________________________
Will there be any temporary structures? _____________________________________________
Lifeguards are scheduled based on the number of participants swimming. How many
lifeguards do you anticipate needing?
1-25 - 2 lifeguards
26-50 - 3 lifeguards 51-75 - 4 lifeguards 75+ - 5 lifeguards
Signature:_______________________________________ Date:_________________________