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Pool Rental Form

• Email to Collin Dulaney, cdulaney@libertyville.com, 224-636-2791 • No date holds & payment in full at time of submission. • Alcohol/Smoking Prohibited. Food in Concession Area only. • 10% cancellation fee (minimum 48 hours notice) • Village of Libertyville reserves the right to cancel or reschedule. • Morning Parties-Private Swim Lessons will start at 11:30am

libertyvoUe Reccreateon www.LibertyvilleRecreation.com 847-918-7275

• No reserved seating/concession area requests.

Adler Pool

Adler Pool Morning Rental (Max 50 Swimmers) 1500 N. Milwaukee Avenue, Libertyville Sat or Sun:10am-11:30am (closed to public until 11:30p) Fee Includes use of Main Pool Only Option to Add Slide & Dive Pools (Reference Page 2) Minimum 48 Inches for Slide Pool and Dive Pool FEE: $315 R/$370 NR Adler Pool Night Rental (Max 200 Swimmers) 1500 N. Milwaukee Avenue, Libertyville Fri or Sat: 7:15-8:45pm (closed to public) Fee includes use of Main Pool, Slide Pool & Dive Pool Site Notes: Dive Pool closes at 8:15pm FEE: $475 R/$525 NR

Please Check Rental Time & Pools Page 2 Aerial Photo of Pools Q Morning

Q Night 0

Main Pool-Included in Fee

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Slide Pool (Morning)-Add $40 Included in Night Rental Dive Pool (Morning)-Add $40 Included in Night Rental

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Riverside Pool Please Check Rental Time Page 3 Aerial Photo of Pool 0 Morning

Riverside Pool Morning Rental (Max 25 Swimmers) 870 Country Club Drive, Libertyville Time: 10am-11:30am (closed to public) Fee included the Main Pool, no additional pools available FEE: $240 R/$290 NR Riverside Pool Night Rental (Max 50 Swimmers) 870 Country Club Drive, Libertyville Time: 5:15pm-6:45pm (closed to public) Fee included the Main Pool, no additional pools available FEE: $265 R/ $315 NR

Q Night

Customer Information Name:

Cell: ----------------- --------------- Home Address: ------------------------------ EmaiI: --------------------------------- Payment Due at Time of Reservation Card #:________________Exp:________CVC:____ TOTAL CHARGE: -------------

Signature Approval for Payment & Waiver Cancellation Policy (Page 4) X____________________Date:____________

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