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2. 
4. Organization/Individual*
5. Today's Date*
   Today's Date
7. First Name*
8. Last Name*
10. Address*
12. City*
13. State*
14. Zip*
16. Phone*
17. Email*
19. Pool Time Requested*

    1. Saturday, 5:30-7:15pm
    2. Saturday, 7:30-9:15pm
    3. Sunday, 5:30-7:15pm
    4. Sunday, 7:30-9:15pm
20. Date Requested*
    Date Requested
22. Attendance Expected*
    -- Select One --1-2526-7576-100101-125

    Everyone who attends party will be counted in the attendance.
23. Age of Children*
25. Kid's Club Rental*

    1. Yes
    2. No

    Kid's Club rental must be one hour directly before or after pool rental.
26. Time*
    Time Start Time

    —

    Time End Time
27. Food Served in the Kid's Club?*

    1. Yes
    2. No
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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field