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General
Host Client Name:
Host Pool Address:
City:
State:
Zip Code:
Metro Area:
Major Cross Streets: /
Home Phone:
Cell Phone:
E-mail:
Are you a returning customer:
New Clients, Terms?

Booking Info
Pool Party Date:

Number of swimmers expected:
Age Range of Pool Guests:
Number of Lifeguards Desired:
Parent Notes for our Office:
Ref:
Price: $.00

Payment details

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If you need to pay by purchase order or check, this can be done. Email clientcare@happyswimmers.com for instructions.

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