Current Customer Pool Party Request FormPool*Date of Party* MM slash DD slash YYYY Start Time* : Hours Minutes AMPM AM/PMEnd Time* : Hours Minutes AMPM AM/PM*There is a 2 hour minimum per party*Total Number of Hours Lifeguard(s) Are Needed*Sponsor's Name* First Last Sponsor's Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone Number*Number of Attendees**Please note that “number of attendees” is the TOTAL PARTY ATTENDEES, and not the estimated number of swimmers.*Age Group*Will alcoholic beverages be served?**One additional guard is required for any party involving teenagers, college-age people or when alcohol is served.* SPMC reserves the right to shut down a party if it is significantly under guarded. Please be accurate! FOR INSURANCE LIABILITY PURPOSES THERE WILL BE NO EXCEPTIONS TO THE COVERAGE POLICIES. Yes NoPlease choose one of the following* I would like SPMC to automatically cancel my lifeguard(s) if there is bad weather. I will call SPMC 2 hours in advance if I wish to cancel the lifeguard(s) due to bad weather.*I understand that if I fail to cancel and he/she shows up, the guard will be paid and I will not receive a refund.* A sponsor may cancel with 24 hours notice to receive a full refund. Parties cancelled with less than 24 hours notice will receive a 50% refund. If a party is cancelled due to inclement weather, a full refund will be issued. Note: 1. Sears Pool Management will provide no lifeguards beyond the hour of 12:00 am (midnight) 2. In the event that a pool party extends beyond the original scheduled time, the customer agrees to pay additional charges to cover the lifeguards pay. The rate for this will be $50.00 per hour for each guard. The coverage cannot be prorated. Because of this, please be accurate when scheduling your party. 3. Lifeguards will call breaks during the party at the regularly scheduled “Adult Swim/Safety Break” time set by the pool.Sponsor's Signature*Date*Please note there is a $25 late registration fee if the party is booked less than 7 days in advance. MM slash DD slash YYYY Pool Chair's SignatureDate* MM slash DD slash YYYY Payment is due at time of request. Guards will not be scheduled until payment is received.Number of Attendees, Guards, and Hours Needed* Do you have 1 - 25 attendees? If so, how many hours will your guests be in attendance? Figure our charge @ $45/hour for 1 guard. Do you have 26 - 60 attendees? If so, how many hours will your guests be in attendance? Figure our charge @ $90/hour for two guards. Do you have 61 - 100 attendees? If so, how many hours will your guests be in attendance? Figure our charge @ $135/hour for three guards. Do you have 101 or more attendees? If so, how many hours will your guests be in attendance? Figure our charge @ $180.00/hour for four guards.Total Amount to be Paid*Are you paying cash or credit card?* Bill HOA Credit Card - please call the office to provide card numberSPMC Office Use OnlyAdded to DigiQuaticsConfirmed withDate of confirmationConfirmed Yes NoConfirmed byDate Payment Received MM slash DD slash YYYY Guards' Names