Contact
Person
Organization
Address
City/ State/ Zip
E-Mail
Confirm E-Mail
Office Phone
Mobile Phone
Event Information
Name of
Event
Event Description
First Date of Event
Start Time
6:00 am
7:00 am
7:00 am
9:00 am
10:00 am
11:00 am
Noon
1:00 pm
2:00 pm
3:00 pm
4:00 pm
5:00 pm
6:00 pm
7:00 pm
8:00 pm
9:00 pm
10:00 pm
11:00 pm
Midnight
Finish Time
6:00 am
7:00 am
7:00 am
9:00 am
10:00 am
11:00 am
Noon
1:00 pm
2:00 pm
3:00 pm
4:00 pm
5:00 pm
6:00 pm
7:00 pm
8:00 pm
9:00 pm
10:00 pm
11:00 pm
Midnight
Recurring Event
Yes No
Recurring Every
Mon
Tue Wed Thu
Fri Sat Sun
Last Date of Event
Number of Participants
Facilities Requested
Entire
Pool (16 Lanes)
Half-Pool (8 Lanes)
Classroom
Whirlpool
Concessions
Timing Equipment
Polo Equipment
Carthage requires all groups using the pool to
provide a three
million dollar ($3,000,000) insurance policy naming Carthage
College as the insured . The policy should minimally include
coverage for bodily injury and property loss.
Name of Insurance Carrier
Additional Comments/Requests
I have read and agree to the rental and
guest procedures .
Yes
No