POOL & CLUBHOUSE RESERVATION FORM 06 2009

Contact Sandy Emerling, 624-9489, to reserve the Club House

Reservation policy and rules may change from time to time. The current ones should be on the web site but the reservation coordinator, Sandy Emerling, 624-9489, will have them reguardless. Instructions:

1) Call Sandy Emerling, the Clubhouse Coordinator, at 624-9489 or e-mail her at sandyemerling@gmail.com to determine if the clubhouse or pool is available for your function.
2) Complete this form, sign, and hand-deliver or mail with the two deposits to Sandy, the Clubhouse Coordinator.
3) The Clubhouse Coordinator will contact you regarding key, etc.

Grove Park HOA's Clubhouse and Pool Reservation Form

Name: _________________________________________________________________

Address: _______________________________________________________________

Phone Number: __________________________

Cell Phone Number: _______________________


Function to be Held (Circle):

Social Gathering/Party
Birthday/Holiday
Team/Club/Hobby
School/Youth Group
Grove Park Social/Business
Other (Specify)
Business/Work*

______________________________

*Not permitted: are profit, solicitation and fundraising events


Reservation Type (Circle):

Clubhouse Only (80 person max)
Pool Only
Clubhouse & Pool (50 person max)

Total Number of People Invited or Attending: Adults: ____________ Youth (under 18): _______________

Approximate Number
Youth (under 18) Swimmers:____________
Adult Swimmers: _____________

Adult Chaperone (1 per 10 Youth) – Name(s) & Phone #(s):

1.___________________________________

2.___________________________________

3.___________________________________

4.___________________________________


Chaperons must be at least 18 yrs old, supervise youth activities including swimming, and be able to swim

Function Set-up:
Amt of time needed? _________
Additional seating required? _________
Will clubhouse furniture or items
require moving? ________


Function Clean-up: (see checklist): Responsible Person: _______________________________________

Clean-up will be completed (Circle):
After Function
Next Morning

_______ Rcvd Cleaning Deposit: $100.00
________Rcvd Damage Deposit: $100.00

Make checks payable to Grove Park Homeowner’s Association.

I have reviewed the rules and policies concerning the use of the Grove Park Clubhouse and Pool (posted on website and in clubhouse) and agree to abide by them.

________________________________
Homeowner Signature Date

_______________________________
Clubhouse Coordinator Date