Please note: Weekdays and Before 11am on Weekends are Extremely Limited.

1. First Name

2. Last Name

3. Phone Number

4. Address *This question is required.

5. E-mail Address

6. Renter's Birthday This question requires a valid date format of MM/DD/YYYY.

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7. Rental purpose (Should include birthday child's age and first name), additional information or details *This question is required.

8. Preferred Date #1 This question requires a valid date format of MM/DD/YYYY.

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9. Preferred Date #2 This question requires a valid date format of MM/DD/YYYY.

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10. Preferred Date #3 This question requires a valid date format of MM/DD/YYYY.

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11. Estimated Number of People *This question is required.

12. Start time (This begins when walking in and includes setting up decorations, tables, and chairs).
*This question is required.

13. Walk out time (This includes cleaning up, throwing away any trash and putting away tables and chairs). *This question is required.

14. Check all that apply:

Swimming (1:00 pm - 2:00 pm only)
Moonbounce (from an outside vendor. Must provide copy of insurance).
Outside Vendor (Except for food)

15. If swimming, how many swimmers?

Chinn Aquatics and Fitness Center is a dry facility, no alcohol is permitted. Invite only. Events permissible/open parties will be shut down without refund. Please sign your name to acknowledge.

16. Sign Here *This question is required.

Clear

Signature of

17. I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent. *This question is required.

I agree

Chinn Facility Rental Request

Chinn Aquatics and Fitness Center is a dry facility, no alcohol is permitted. Invite only. Events permissible/open parties will be shut down without refund. Please sign your name to acknowledge.