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95145de6-8a54-4e0d-9f74-03250e8ad369
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Name:
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*
selection is required
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4004220e-3ceb-4d85-89bb-42795fdbce55
Textbox
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Address:
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*
selection is required
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c76f2da8-d78a-457c-a221-7c7d9791429c
Textbox
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Phone Number 1:
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*
selection is required
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aa1c9373-645e-4e6b-882d-994a92d97e4f
Textbox
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Phone Number 2:
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a430413b-5400-406c-9ce7-5122d4b16f2e
Textbox
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Email:
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selection is required
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f57f0698-d443-4597-87f8-fad95a0f47f1
Label
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The MPR closes promptly at 10:00 PM. Arriving prior to or staying after your reserved time is prohibited.
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82280c79-343c-4205-ac74-c59cb4fa93f1
Textbox
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Reservation Date:
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*
selection is required
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6f47194f-6f67-4fd3-b73a-170bf9978717
Textbox
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Start Time:
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*
selection is required
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4e831194-432a-4038-b961-8bb4959d8886
Dropdown List
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Start Time AM or PM:
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*
selection is required
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c3526f61-4fa0-4b86-ab68-f8f1185c04dc
Textbox
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End Time:
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*
selection is required
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6def990f-c039-4651-8987-8773f4346bcf
Dropdown List
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End Time AM or PM:
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*
selection is required
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297ad38d-a552-48ba-af5c-7b3fe7253a21
Label
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Rental rates are as follows:
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66909032-132b-4702-852c-68de0357379a
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Not for-profit costs (minimum time is 2 hours): 2 hours = $30, 3 hours = $60, 4 hours = $200, 5 hours = $300, each additional hour over 5 hours = $100
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0108fdde-b849-4843-ae93-d7992a510370
Label
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For-profit costs: $30 per hour, each additional hour over 3 hours = $110
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9006450a-93d9-4e69-b843-d42a4f5060df
Inline Text
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ffdf4f01-1795-47ed-80bb-617055fb934a
Dropdown List
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Identify if the event is not for-profit or for-profit:
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*
selection is required
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5d1a92d8-245b-4d3f-81fc-ef350ca4b0bc
Dropdown List
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Event Type:
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*
selection is required
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0e4c22f9-0ace-4a42-bf84-cc3090aaf28f
Textbox
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Event Details:
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8bc473dc-8a24-4ac1-a319-01ce1e49f671
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For reservations using the pool, only 20 guests may be at the pool at any given time. There must be one adult chaperone in the pool area for every 3 guests under 18 years of age in the pool.)
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4369928a-2a85-431e-84de-9461c07cec41
Dropdown List
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Will the pool be used?
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*
selection is required
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5f7a4d7a-ea9f-46f1-ae3a-1e051cf3807b
Inline Text
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Acknowledgement that you have read and accept the policies for use of the room (including financial responsibility for any additional charges/fines which may result from the event - see the MPR Policies for possible fines)
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06188bc8-d1c8-43bb-9217-6520830496b1
Electronic Signature
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Signature:
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d32f42ea-07e7-4851-ad61-0a18db4210e6
Textbox
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Today's Date:
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*
selection is required
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0ff7eb48-62d0-407c-920b-2690614667e9
Inline Text
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Once you submit this request, please review your completed copy for additional information regarding the review process and payment instructions.
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