L&G Building Use and Special Activities Request Form
This form must be returned two weeks in advance for all events. Any questions please contact Marty Testo at 365-7355 ext 151
Email address
Title of event:
Your answer
Date(s) of event:
MM
/
DD
/
YYYY
Start time of event:
Time
:
End time of event:
Time
:
Name of person in charge of the activity:
Your answer
Facility(s) Requested:
Your answer
Do you need assistance from the maintenance department? If so, please explain.
Your answer
Number of extra chairs required:
Your answer
Number of extra tables required:
Your answer
Number of people attending:
Your answer
Special equipment/technology? Please describe:
Your answer
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