Party Rental Form - Information & Payment Name(Required) First Last Email(Required) Requested Date of Party(Required) MM slash DD slash YYYY Party Start Time(Required) Hours : Minutes AM PM AM/PM Party End Time (4 hour limit) Hours : Minutes AM PM AM/PM Number of Non-Member Guests(Required)Please enter the number of non-member guests that you plan to have at your party. As a reminder, guest passes must be purchased for each non-member guest and the max number of non-member guests per party is 30. First & Last Name of all Non-Member GuestsPLEASE BRING THIS FORM OR A PRINTED LIST OF NON-MEMBER GUESTS TO THE FRONT DESK IN ADVANCE OF YOUR PARTYCommentsPlease let us know if you have any additional needs for your party rental!Consent(Required)By making this reservation, you and your guests agree to abide my all Mt. Lookout Swim Club Rules and Regulations. Failure to do so may result in cancellation of this reservation and/or suspension from the Club. I agree to the rental consent policy.Reservation Fee Price: Additional Guard Fee QuantityATTENTION! Please review the following details before entering your quantity to avoid excess charges! Parties with 20 guests or more require an additional lifeguard at a fee of $30 per hour for the duration of the party. Enter the number of hours in the "Quantity" field below. If you have less than 20 non-member guests, your quantity will be 0. If you have 20 or more non-member guests (but less than 40), your quantity will equal the number of hours of your party. 3 hours = quantity of 3 Price: $30.00 Quantity Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name