Facility Rental Request Form
Submit your request to rent a facility at Shelby County YMCA. Please complete all required information to help us process your inquiry efficiently.
Full Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you a current member or guest?
Current Member
Guest
Have you rented our spaces before?
Yes
No
Rental Date (Preference 1)
*
-
Month
-
Day
Year
Date
Rental Date (Preference 2)
*
-
Month
-
Day
Year
Date
Are either of those dates a Saturday or Sunday from 2:30 PM - 5:30 PM?
Yes
No
Rental Spaces requested (Note: Pool or Gym)
Community Room
Pool -OR-
Gym
Describe the event time and include specific needs:
Approximate number of attendees:
*
Approximate number of swimmers (if interested in the pool):
*
If renting the gym, are you interested in volleyball or pickleball?
*
Special Requests or Additional Information
I understand the following:
*
If requesting the use of the pool, I understand the following:
*
Submit Request
Should be Empty: