This form is to be filled out by a Wildwood pavilion rental host after they have confirmed a date and time slot with the pavilion chair. This form is only used to collect pavilion rental reservation money. If you wish to change your pavilion rental date or time please email the pavilion rental chair at: pavilion@wildwoodpool.com to negotiate any changes in your reservation.

Hidden
Name(Required)
Address(Required)
MM slash DD slash YYYY
What time does your pavilion rental reservation start at?(Required)
:
How many hours did you reserve the pavilion for?(Required)
Credit Card(Required)
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date