Ymca Pool Party Earlywine Form – Fill Out and Use This PDF

EARLYWINE PARK YMCA Birthday Party Rental Agreement

_______________________________	_______________________________		________________________________________
Parent Last Name	Parent First Name		Parent Best Phone Contact
________________________________________________________________			________________________________________
Parent Email			Parent Date of Birth
________________________________________________________		_______________ _______________		_____________
Parent Street Address		City	State	Zip
_______________________________	_______________________________		________________________________________
YMCA Member	Non-Member		Date of Rental
_______________________________	_______________________________		________________________________________
Childs Name	Childs Date of Birth		Childs Favorite Activity / Sport
_______________________________	__________________________________		________________________________________
Childs Favorite Color	Will you have a party theme?		What will it be?

Deposit: $100.00 (separate check due at the time of sign-up) is required in order to hold rental date. Reservations are first come, first served. Deposit will be returned to rental participant immediately following the rental, pending any facility damages.

Rental Fee:Members $150.00Non-Members $200.00 Includes 15 children; $5.00 per additional child. Each party may only have up to 20 children.

Sign-up Procedures:

1.Check with membership services desk to verify availability of your preferred date. Parties can only be reserved in person at the Earlywine Park YMCA.

2.Please select one of the rental options. Initial required lines.

3.Pay deposit amount using a check only.

4.Please review and sign agreement, attached aquatic center policies and return rental agreement to membership services desk.

5.Obtain parent/guardian signatures on hold harmless sheet for all children coming to the party and return prior to the party beginning.

EARLYWINE PARK YMCA Birthday Party Rental Agreement

A participant (if 18 years and above) or parent/guardian for each participant must sign below prior to the rental.

______________________________________________________________________________________	_____________________________________
Name	Date of Rental

By signing this release, I agree to indemnify and hold harmless the YMCA of Greater Oklahoma city, its officers, directors, employees, agents, and representatives from any and all claims, demands, injuries, damages and/or losses, whether personal or property, sustained by me or any members of my family while on any YMCA premises or while involved in any YMCA sponsored activity.

	Child’s Name		Parent/Guardian’s Signature
1.	__________________________________________________________________		___________________________________________________________
2.	__________________________________________________________________		___________________________________________________________
3.	__________________________________________________________________		___________________________________________________________
4. __________________________________________________________________			___________________________________________________________
5.	__________________________________________________________________		___________________________________________________________
6.	__________________________________________________________________		___________________________________________________________
7.	__________________________________________________________________		___________________________________________________________
8.	__________________________________________________________________		___________________________________________________________
9.	__________________________________________________________________		___________________________________________________________
10.		________________________________________________________________	___________________________________________________________
11.		________________________________________________________________	___________________________________________________________
12.		________________________________________________________________	___________________________________________________________
13.		________________________________________________________________	___________________________________________________________
14. ________________________________________________________________			___________________________________________________________
15.		________________________________________________________________	___________________________________________________________

Additional children ($5.00 each)
Child’s Name		Parent/Guardian’s Signature
16.	________________________________________________________________	___________________________________________________________
17.	________________________________________________________________	___________________________________________________________
18.	________________________________________________________________	___________________________________________________________
19.	________________________________________________________________	___________________________________________________________
20.	________________________________________________________________	___________________________________________________________

EARLYWINE PARK YMCA Pool Rules

1.Shower before entering the pool – This helps keep the pool clean and free of contamination and also helps prevent disease transmission.

2.Always walk in the pool area – don’t run.

3.Proper swim attire is required in the pool area.

4.Swimmers who wish to use the deep end must be able to swim across the pool without assistance. A swim test will be administered by the lifeguard to demonstrate this ability.

5.A parent or guardian 16 years of age or older must accompany children under the age of 8. (1 adult to every two children under the age of 8.) This person must be in the water with the child and within arm’s reach at all times.

6.Food, drink and gum are not permitted in the pool area. This could cause choking or impair breathing, interfere with other swimmers or clog the pool’s filtration system.

7.Band-aids, bandages, or open wounds are prohibited.

8.Do not sit, stand or cross the wall between the spray area and the slide catch pool.

9.Hanging onto pool lane dividers is prohibited.

10.No diving is allowed in any pool.

11.Horseplay or wrestling is prohibited.

12.No inflatable devices are allowed. Water wings and other flotation devices are often not reliable, having a tendency to deflate or for children to slip and fall off of them. Coast Guard approved life jackets are allowed.

13.Always listen to the lifeguard and obey their instructions.

14.Parents must remain seated on the benches during swim lessons and swim team practice. This is a safety for them and their child.

15.Prolonged breath holding activities are not allowed.

16.Any person under the influence of alcohol or drugs will not be allowed into the Y.

EARLYWINE PARK YMCA Slide Rules

1.All riders of the slide must be at least 48 inches in height.

2.Only one person on the slide at a time.

3.Maximum operational load on the slide is 300 pounds.

4.All swimmers must review the slide rules before getting on the slide.

5.Riders must wait for the lifeguard’s signal before starting down the slide.

6.Swimming is prohibited in the catch area of the slide.

7.Keep the bottom of the slide open and unobstructed. Swimmers coming off the slide must move away from the bottom of the slide immediately. If getting out of the pool, exit at the closest pool steps.

8.Do not run, dive, stand, kneel, rotate or stop in the slide.

9.Riders must go down the slide feet first, laying on their back with legs crossed at their ankles and arms folded across their chest.

10.Pregnant women and anyone with heart conditions or back problems should not use the slide.

11.Anyone riding on the slide does so at their own risk.

The lifeguard is ultimately responsible for your safety and the cleanliness of the pool.