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Lebanon Memorial Pool Group Use Form

  1. Lebanon Memorial Pool Group Use Form
    The intended purpose of this form is to request usage of the pool for groups with 10 or more participants (ex: summer camp, day care, etc.). This form does not guarantee approval of group usage. Please wait for a follow-up email or phone call to confirm. If you are looking to rent the pavilion for a party, please visit
  2. Please enter the days, dates and times you would like to bring your group.
  3. Group Use Policies
    By submitting the form, you agree to the following:
    • The rate for groups from Lebanon or West Lebanon are $1 per youth.
    • Groups outside of Lebanon or West Lebanon are $2 per youth.
    • Staff members and/or Adults may not have cell phones on the pool deck.
    • There needs to be at least half of the staff members and/or adults in the water with their children when the children are swimming.
    • If children need lifejackets, the ratio changes to 1 staff member/adult to 3 children within an arm's reach.
    • If a child has a behavioral/medical diagnosis, the staff members/adults must inform the Pool Director, Assistant Director, or Head Guard on duty.
    • Visits must be scheduled at least 5 days in advance. Cancellations must be notified to the Pool Staff as soon as possible.
    • Staff and children numbers must be provided to Lebanon Memorial Pool 24 hours ahead of time.
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  5. This field is not part of the form submission.