D6270 Inflatable Wheel Reservation

Reserve one of the Inflatables

For a Public Image Event
Club*
Date of Event*

MonthDayYear
Date
Name of the Event (for the calendar)
Which inflatable are you asking to reserve?*

North RegionSouth Region
Which one you reserve is up to you, just bear in mind that you'll need to obtain and pass on the inflatable. If you're north of West Bend, you probably want to stick with "Northern." If you're south of Rt. 94, you probably want to stick with "Southern."
Responsible Party (must be a Rotarian in the named club.) *

First NameLast Name
Email*
This email address will be given to the responsible party before and after your reservation.
By clicking "Submit," you're agreeing to fix it if you break it, and work with the club who has it before and will receive it after you to receive and pass on the inflatable.

Prior to {dateOf}, consult the {whichInflatable} calendar to determine who had it before you (their name and email will be in the preceding appointment) and arrange with them to obtain the inflatable.

If you choose not to use the inflatable after submitting this form, please make sure you inform the next person, when they contact you, that you did not obtain it, and ask them to contact your predecessor.
Should be Empty:

Reserve one of the Inflatables