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Gym Rental Request Form

All groups requesting gym usage must comply with the user guidelines. Please read User Guidelines and Policies and Procedures for use of the Gym before submitting a request.

Please be advised that personal information provided on this form may be disclosed to requestors under the Public Records Act (RCW 42.56).
* Group Name
* Sport
* Date:
* Group Contact
* Telephone
Alternate Telephone
* Number of Users who will be using the facility
* Percentage of Mercer Island Residents in Group
* Team Roster - Please supply a full roster including name, address, phone and parent name (if under 16). The CCMV reserves the right to cancel a rental if the user group falls below the stated amount of residents on the application.
* Please list First Choice - Day(s) and Time(s)
Please list Second Choice - Day(s) and Time(s)
* Specify Activities and Type of Equipment Needed
* Email
* I have read the Gym Use Policies & Procedures and Gym Use Guidelines

To serve the largest number of users, gym rentals are only for half of the gym. Exceptions will be considered on a case-by-case basis. Please include any information for consideration in Other Information.


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