YMCA RENTAL APPLICATION

YMCA RENTAL
The Y is a great place to get together with family and friends or for a professional gathering. We have options to rent the Warm Water and/or the Lap Pool, and our Multi-Purpose Rooms, with access to a small kitchen. We suggest that you place your reservations as far in advance as possible. A non-refundable $25 deposit fee will be charged once your reservation is confirmed. Please contact Missy Hartman at mhartman@kcymca.org for additional information. We look forward to helping you celebrate your special occasion!
TODAYS DATE*
MM slash DD slash YYYY
NAME*
First Middle Last
ADDRESS*
Street Address City State ZIP Code
HOME PHONE
CELL PHONE*
EMAIL*

RENTAL INFORMATION
DATE DESIRED FOR RENTAL?*
2ND CHOICE FOR RENTAL DATE?*
TIME OF DAY FOR RENTAL*
NUMBER OF CHILDREN 0 - 6 YEARS OLD*
NUMBER OF CHILDREN 6 - 12 YEARS OLD*
NUMBER OF CHILDREN 12 - 18 YEARS OLD*
NUMBER OF ADULTS*
DO YOU RECEIVE FINANCIAL ASSISTANCE HERE AT THE Y?*
For rentals, the maximum discount for financial assistance is 50%.
- YES
- NO
IS THE RENTAL FOR A NON PROFIT ORGANIZATION?*
- YES
- NO
NAME OF ORGANIZATION*

RENTAL CHARGES
A non-refundable deposit fee of $25.00 is required once the reservation is confirmed. (Deposit will be applied to the rental fee.) Payment must be made in full and the rental contract signed on or before the rental date.
POOL POLICY
There must be one adult in the water within arm’s reach for every 2 children aged 6 and under.
PACKAGES*
- WARM WATER OR LAP POOL PARTY PACKAGE
- WARM WATER OR LAP POOL
- MULTI-PURPOSE ROOM 1 OR 2
- MULTI-PURPOSE ROOM 1 AND 2
SPECIAL REQUESTS
Requests will be taken into consideration but not guaranteed

HAVE YOUR PARTY AT THE Y!