Calendar-Facility Request
Event Details
Event Name *
Your answer
Event Date(s) *
Your answer
Event Start Time(s)... *
Your answer
Submission Date *
Your answer
Is this a reoccurring event (i.e. weekly, monthly)? *
What date will you start to set up?
What time will you start to set up?
If this is a calendar change or make-up date. Please list below.
Your answer
What facility are you requesting?Please check all that apply. *
LMCS Kitchen Use Procedures

1. The kitchen is to be left as you found it.

2. Garbage must be bagged and taken out to the dumpster behind the school.

3. Floors are to be swept and mopped.

4. Counters, table tops, sinks, stove, etc. are to be cleaned & sanitized after use.

5. All dirty laundry is to be placed in the black basketball next to the washer in the backroom.

6. The dishwasher is NOT to be used.

7. Mop buckets are to be emptied in the mop sink next to the washer, and mops are to be hung up. DO NOT EMPTY THE DIRTY WATER IN THE SINKS

8. Bring and use your own serving gloves, tin foil, saran wrap, napkins, etc.

9. Ice machine is NOT to be used. If ice is needed it is available in the concession stand.

$50.00 deposit is required to be left in the Central Office.

A copy of these Kitchen Use guidelines may be requested in the central office.

Did you read and understand the rules listed above? *
Addtional Details
External Door Numbers needed to be unlocked: *
Your answer
Special Needs
Your answer
Additional Needs
Your answer
Would you like this event posted on the school calendar? If yes, please see the school calendar website ( for posting confirmation of the scheduled event. *
Contact Information
Requested By *
Your answer
Phone *
Your answer
Your answer
Never submit passwords through Google Forms.
This form was created inside of Lake Mills Community School. Report Abuse - Terms of Service - Additional Terms