Member/ Household Last Name(s):
Reservation Time: (Please include time for set up and break down- 4 hour max)
Pool 3:00 PM – 5:00 PM, Club room 4:30 PM – 7:00 PM
Purpose of Event:
Duveneck 5th grade Promotion Party
Total number of Members and last name
5 member families – Henigin, Kristenson, Neumann, Doll, Lebeck
Total number of Members and Guests (Fee is based off of total number)
Number of Children (Swimmers) & Age Range
approx 50, ages 10-11
Clubroom Use ($50) Any Party or Event wishing to use the club room over 15 people must pay fee. 4 Hour Limit. Fee is $75 in the summer May-July
Any Party > 15 people, $5 fee per guest
Parties over 40 people may require special planning and a different party fee.
Check the following boxes to acknowledge club reminders:*
WALK on the pool deck.
Youth Members under 12 must have parent present
Members under 16, no guests without parent present
No glass on the pool deck (allowed in club room)
Spray sunscreen only in grass area (not in locker room or by other members)
Look for confirmation email from manager*
ESTC reserves the right to accept, refuse and adjust reservation based on current schedule or staff.
Rental and Hold Harmless Waiver Agreement*
By Checking this box you indicate that you have read and understand all party, guest, pool rules, and rental policies that are listed on this form and subsequent link, and agree to notify your party guests of all pool rules and procedures. https://tinyurl.com/ywa2x34x
No Camps or Fundraisers*
By Checking this box you agree that there will be no camps, clinics or fundraisers are to be held at your event.