CCHS Use of Facilities Request
MUST BE RECEIVED TWO (2) WEEKS BEFORE EVENT.
PLEASE NOTE: If you request to use the Theater, you must arrange to meet with the Theater Director to make arrangements regarding use of the audio visual equipment and stage lighting.
Email address *
Facility Requested
Sponsoring Organization
Person in Charge
Requestor's Email *
You will receive an email notification regarding request approval/disapproval
Description of Activity
# of Attendees
Will admission fees be charged?
Will contributions or other fees be solicited at this event?
Is activity open to the public?
Event Start Date
MM
/
DD
/
YYYY
Event End Date
MM
/
DD
/
YYYY
Day(s) of the Week
Facility Use Start Time *
This is the time you will begin to use the facility (start to set up, etc.)
Time
:
Event Start Time *
What time does the actual event begin?
Time
:
Event End Time *
What time does the actual event end?
Time
:
Facility Use End Time *
This is the time you will be out of the facility
Time
:
Special Needs
Check all that apply
Set Up Details
Include any notes for custodians including numbers of tables, chairs, etc.
A copy of your responses will be emailed to the address you provided.
Submit
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