Facility Pass Requests Form
Lead Guest Information
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Arrival Date and Time
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Departure Date and Time
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Number of nights
How many are you in the party or group? (Including you)
Are you going to arrive by car or public transport?
Car
Bus
Public transport
Other
Who will issue keys to the guests?
Company (Facility owner)
Lead guest
Payment Method
Cash
Credit Card
Check
Bank Transfer
Purchase Order
PayPal
Other
Information about the guests
Rates
Adult (18 years old and above)
$50
Child (6-17)
$25
Under 5 years old
Free
Agreement
Your guest must bring a copy of this form by printing it.
We do have a parking lot for vehicles.
I understand that fees are non-refundable.
I understand that I and the other guests will be responsible for setting up and cleaning up the necessary or specific facilities.
I release the facility owner from any liabilities and damages like injury, loss, or accidents that might happen during the course of stay.
Submit
Approval Section - Staff Only
Approval Section
Pass Request Approved by
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Approval Date
-
Month
-
Day
Year
Date
Comments
Date Signed
-
Month
-
Day
Year
Date
Approver Signature
Should be Empty: