Rockville Swim and Fitness Center 

Birthday Party Reservation Request Form 


Please carefully/clearly fill in all the following information below:

Date (1st Choice)*
(MM/DD/YYYY)
Time (1st Choice)*
Date (2nd Choice)*
(MM/DD/YYYY)
Time (2nd Choice)*

(The reservation should include time for setup and clean up.)

Reserve Area*
Use your mouse or finger to draw your signature above
Date*

PLEASE NOTE: Allow 72 hours for a response to your request. Once a response with availability of your requested date(s)/time(s) is provided, customer has 5 business days to confirm and make full payment. If payment is not received by the deadline, we will consider the customer no longer interested in the reservations and the reservation will be cancelled. All responses will be via email. Please fill out the reservation(s) form clearly. 

This is not a rental contract. It is a request to rent the facility space from the City of Rockville. Please fill out the form completely and submit it at least two (2) weeks prior to your first requested date. If the City cannot accommodate the request, you will be notified as soon as possible. Otherwise, a contract will be sent to you for your review and action.


Please contact Jessica Perkins, Office Manager
at 240-314-8751 or email: Jperkins@rockvillemd.gov
with any questions.

Date Received
City Resident
Date Contract Sent
Date Contract & Payment Received
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