Henderson Pool Request Form Henderson Pool RequestRental Procedures: Please complete and submit this form 30 days prior to the start date requested. You will be contacted within 3 business days if additional information is needed. You will receive a written estimate within 7 business days from when all information is acquired. All requests will be reviewed, and acceptance will be based on availability of facility, and staffing. *Completing this request does not automatically constitute approval of the request. Requested Information:Date * Organization Name * Name of Contact Person *(first and last name please) Day-time Phone * Evening Phone * Email * Is this request for reoccurring use or a single use? *ReoccurringSingle Use Type of event *Swim Team PracticeSwim MeetDive PracticeDive MeetInstructionalOther If you listed other above, please clarify: Please provide information on which days & times you will be needing the pool:Start Date for Rental Request * End Date for Rental Request * Please choose the desired day(s) for your rental request: *SundayMondayTuesdayWednesdayThursdayFridaySaturday Start Time *010203040506070809101112HH000510152025303540455055MMAMPMAM/PM End Time *010203040506070809101112HH000510152025303540455055MMAMPMAM/PM Desired area(s) of use: *Please check all that apply.Entire poolDiving WellLanes Lanes Requested: If you requested lanes, how many will you need? Minimum of 4 lanes and maximum of 8 lanes. Special Requests Please let us know if you have any special requests or additional needs (tables, chairs, etc.). VerificationPlease enter any two digitsExample: 12This box is for spam protection - please leave it blank