Pool Request Form Pool Request Form This form will be mailed to Social@mvyc.net to be added to the pool calander, if date is availableName* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Enter Email Confirm Email Home Phone*Work/Cell Phone*Date of rental* Start Time* : HH MM AM PM End Time* : HH MM AM PM Reason For Reservation*Number of adults attending?*Please enter a value between 0 and 15.Number of children attending?*Please enter a value between 0 and 15.Total Guests*Will you, the renter, be there at all times?*Select OneYesNoPlease review and be familiar with the MVYC Pool Rules and all associated Bylaws before making your formal request. You can find the details of the agreement here. (will open in a new window) Your pool use request should be submitted on behalf of a Mount Vernon Yacht Club member and will be presented to the Board of Trustees for consideration. Follow-on contact will be made upon approval of your request. As part of this process, you are required to complete the items on the "Pool Use Checklist". After filling out and signing this list, please drop it in the club mailbox or send it to social@mvyc.net. Note that a representative from MVYC will inspect the pool area to confirm that all tasks have been completed and that no damage has occurred. Certify & Submit* I have read and understand the applicable Bylaws and rules associated with the use of the MVYC pool and agree to adhere to all mentioned items. Δ This iframe contains the logic required to handle AJAX powered Gravity Forms.