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2. H2O'Brien Pool Group Interest Form
4. Fieldtrips or groups of 10 or more interested in visiting H2O'Brien Pool must complete this form at least 72 hours in advance of a planned visit. Reservations will be accepted starting March 1. For inquiries for Parker Recreation Center indoor pool, please email nwiepert@parkeronline.org or call 303.805.3294. This form does not guarantee a date or time. You will receive an email to follow up.
6. School/Group Name*
8. School Address*
10. Group Lead Name*
12. Group Lead Email Address*
13. Group Lead Phone Number*
15. Day-of-Visit Contact Name*
16. Day-of-Visit Contact Phone Number*
18. Number of Kids 5 Years and Under*
19. Number of Kids 6 Years and Older*
20. Number of Staff/Chaperones*
    1:5 for 5 years and under and 1:10 for 6 years and older—the staff/chaperones must be in the water with the children
22. All guests entering the facility will be charged the group rate of $5 per person.
26. H2O'Brien Pool
    Hours

    Requests are taken on a first-come, first-served basis. Dates are not guaranteed until you receive a confirmation email.

28. Dates of Interest: 1st Date/Time*
    Dates of Interest: 1st Date/Time

    Dates of Interest: 1st Date/Time
29. Estimated Length of Stay*
31. 2nd Date/Time
    2nd Date/Time

    2nd Date/Time

    Please indicate if you only want the following dates as a backup date, if your first choice(s) isn't available, or as additional dates.

32. Estimated Length of Stay
33. Additional or Backup Date?

    1. Additional Date
    2. Backup Date
35. 3rd Date/Time
    3rd Date/Time

    3rd Date/Time

    Please indicate if you only want the following dates as a backup date, if your first choice(s) isn't available, or as additional dates.

    
    

36. Estimated Length of Stay
37. Additional or Backup Date?

    1. Additional Date
    2. Backup Date
39. 4th Date/Time
    4th Date/Time

    4th Date/Time

    Please indicate if you only want the following dates as a backup date, if your first choice(s) isn't available, or as additional dates.

40. Estimated Length of Stay
41. Additional or Backup Date?

    1. Additional Date
    2. Backup Date
43. H2O'Brien Pool Tent/Pavilion Reservation

    1. I would like more information about reserving a shade structure at H2O'Brien Pool for an additional fee.
47. Notes
49. I have read and understand the group policies, rules and ratios and my group will adhere to them. I understand that these policies, rules and ratios are subject to change without notice if deemed necessary for the safety and comfort of patrons and staff.

    H2O'Brien Group Swim Policies

    acknowledge below

51. Acknowledged By:*
52. Date*
    Date
54. Once submitted, you can expect an email within 72 business hours to confirm date(s), if they are available. If you have additional questions about H2O'Brien Pool, please email h2orentals@parkeronline.org or call 303.805.3275.
Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit Submit and Print

* indicates a required field