CrossPlex Natatorium Request Form

Your organization has requested dates for the City of Birmingham’s new Indoor Pool Facility. Because of an abundance of requests and duplicated dates, we are requiring additional information. Please fill out the information requested below. Please fill out additional forms for each event date requested.

[contact-form][contact-field label=’Name of Organization’ type=’text’/][contact-field label=’Contact Person’ type=’text’/][contact-field label=’Email’ type=’text’/][contact-field label=’Mailing Address’ type=’text’/][contact-field label=’City’ type=’text’/][contact-field label=’State’ type=’text’/][contact-field label=’ZIP’ type=’text’/][contact-field label=’Office Phone’ type=’text’/][contact-field label=’Cell Phone’ type=’text’/][contact-field label=’Fax’ type=’text’/][contact-field label=’Name of Event’ type=’text’/][contact-field label=’Priority of All Submissions’ type=’text’/][contact-field label=’Dates and Time Requested’ type=’text’/][contact-field label=’Priority (1, 2, 3)’ type=’text’/][contact-field label=’Dates and Time Requested’ type=’text’/][contact-field label=’Priority (1, 2, 3)’ type=’text’/][contact-field label=’Dates and Time Requested’ type=’text’/][contact-field label=’Priority (1, 2, 3)’ type=’text’/][contact-field label=’Number of Athletes (Male)’ type=’text’/][contact-field label=’Number of Athletes (Female)’ type=’text’/][contact-field label=’Number of Anticipated Hotel Nights’ type=’text’/][contact-field label=’Number of Coaches/Officials’ type=’text’/][contact-field label=’Number of Anticipated Hotel Nights’ type=’text’/][contact-field label=’Number of Patrons’ type=’text’/][contact-field label=’Number of Anticipated Hotel Nights’ type=’text’/][contact-field label=’Video LED Board’ type=’checkbox’/][contact-field label=’Hospitality Service’ type=’checkbox’/][contact-field label=’Hospitality Room’ type=’checkbox’/][contact-field label=’Large Meeting Room’ type=’checkbox’/][contact-field label=’Sports Medicine/Athletic Training Coverage* Name’ type=’text’/][contact-field label=’Phone’ type=’text’/][contact-field label=’Email’ type=’text’/][contact-field label=’Signature’ type=’text’/][contact-field label=’Date’ type=’text’/][/contact-form]

Although every effort will be made to comply with your requested dates or to negotiate other dates, submission of this form is non-binding on the City of Birmingham until such time as a legally binding contract has been executed by all parties. Deposits will be required with final contract.

*Sports Medicine/Athletic Training Coverage required to be provided by event
*Additional fees may be charged

Please send completed form(s) attention to:
AJ Holzherr — Marketing, Events, Business Development
Birmingham CrossPlex
2337 Bessemer Road
Birmingham, AL 35203
Ph: 205.279.8951 Cell: 205.873.9896
AJ.Holzherr@birminghamal.gov