Park Authority

Alert:

CONTACT INFORMATION: Open during regular business hours 8 a.m. - 4:30 p.m., Monday - Friday

703-324-8700 TTY 711

parkmail@fairfaxcounty.gov

12055 Government Center Pkwy.
Fairfax, Virginia 22035

Jai Cole
Executive Director

Department Resources

Related Resources

Winter Swim Pool Rental Application

Please complete the form below and submit no later than 8 a.m., July 7, 2022

Team Name:

Team Representative:

Representatives's Email:

Representatives's Street Address:

Representatives's City:

Representatives's State:

Representatives's Zip code:

Day Phone:

Eve Phone:

Estimated Number of Swimmers Participating:

Number of Lanes Required (based on 8-10 swimmers per lane):

PLEASE COMPLETE EACH CHOICE SECTION COMPLETELY

FIRST CHOICE
Pool Location - Day - Time:
Beginning Date
End Date
Dates You Will NOT Swim

SECOND CHOICE
Pool Location - Day - Time:
Beginning Date
End Date
Dates You Will NOT Swim

THIRD CHOICE
Pool Location - Day - Time:
Beginning Date
End Date
Dates You Will NOT Swim