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2. This form acts as an application only. Completion of this application does not automatically guarantee requested date/time.
4. Contact Person Name*

   Contact Person will be responsible for relaying all information including the Vandalia Cassel Hills Pool Rules and Regulations to their group as well as confirming all administrative details and payment with the Recreation Coordinator.

5. Contact Person Birthdate*
   Contact Person Birthdate
7. Contact Person for the Day of Outing*

   This person will be the onsite contact person the day of the outing who will ensure that all of the VANDALIA CASSEL HILLS POOL RULES AND REGULATIONS are followed.

8. Organization / Group Name*
10. Approximate Number of Guests*
12. Approximate Age Range of Guests*
14. Address*
16. City*
17. State*
18. Zip Code*
20. Primary Phone Number*
21. Alternate Phone Number
23. Email*
25. Date Requested*
    Date Requested
27. Visit Request Deadline

    Please note: Requests to visit Cassel Hills Pool needed to be submitted 5 business days in advance of your visit.

29. Start Time Requested*
    Start Time Requested
30. Approximate End Time*
    Approximate End Time
32. Special Requests
34. Vandalia Recreation Center Rules and Regulations
    Vandalia Cassel Hills Pool Rules and Regulations
36. Electronic Signature*

    By signing your name here, you acknowledge that you have read and fully understand the Vandalia Cassel Hills Pool Rules and Regulations. Completion of this application does not guarantee requested date/time.

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38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field