Clubhouse/Pool Rental Request
(For Settlement Residents only)
Big Room
Small Room
Pool During Regular Open Hours
Month:
Day:
Date:
Resident Name:
Type of Event
Primary  Phone:
Resident Address:
email:
Number of Attendees
Big Room
Small Room
Maximum of 20
Alcohol to be Served:
Note: No alcohol allowed in pool area
Pool  8:00 PM - 10:00 PM
For fees and maximum party sizes please see Swimming Pool page 
20 or more age 13 to 21
Over 50 Attendees?
For fees and other information please see The Clubhouse page
Alt. Phone:
Event over by 6:00 PM
Pool  8:00 PM - 11:00 PM
Total Swimmers
Pool Party Start
Pool Party End
Pool Parties:
Private After-Hours Parties
(Unaccompanied by their family members)
Total in Party
Clubhouse Rooms:
Requested Event Date
PLEASE DON'T SUBMIT UNTIL YOU ARE SURE THAT YOU INTEND TO PROCEED WITH THE RENTAL
Between 11:00 AM and 8:00 PM
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
I certify that this event will not be used for the generation of taxable profit or any “BUSINESS” activity