215 S. Broadway, Louisburg, KS 66053
913-837-5371 · louisburgkansas.gov
Louisburg Aquatic Center Rental Agreement
Person Responsible: __________________________________________________________________________________
Address: __________________________________________________ City: ______________________ZIP: ___________
Phone: ________________________ Email:______________________________________________________________
Group or Organization: _______________________________________________________________________________
Rental Date: ___________________________________ Hours of Use: ________________PM to ________________ PM
Gates close 15 minutes at the conclusion of the rental time and all guests must be cleared from pool complex by then.
Terms and Conditions of the Rental:
The rental must be made through Louisburg City Hall, 215 S. Broadway. The rental fee must be paid when
reserving the pool.
The person responsible will be liable for any and all damages that occur to the facility during the rental.
Person responsible must be over 18 years of age.
All City of Louisburg, Kansas, Ordinances must be observed and the Louisburg Aquatic Center safety rules will
be enforced.
All alcoholic and cereal malt beverages are prohibited.
All personal property must be removed at the end of the rental.
Count will be taken at the party. Additional cost will be billed at $5 per additional person.
By signing below, I agree to abide by all of the terms and conditions of this contract and I waive and release any and all
rights and claims for damages I may have against the City of Louisburg, Kansas., its representatives, employees or
authorized agents for any and all injuries or loss of property suffered by me and/or the participates at the facility during
the rental.
Signature of Person Responsible: ________________________________________________ Date: __________________
Rental Fee: $___________
Available Rental Times: Thursday & Friday: 8:30 PM to 10:30 PM
Saturday & Sunday: 8-10 PM
Two-Hour Party Rates:
10-50 persons $250 101-125 persons $325
51-75 persons $275 126-150 persons $350
76-100 persons $300 150+ persons $400
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