Request for Use of School Facility

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This form is for any teacher, coach, community member or organization that is interested in using one of the district's facilities. Please fill out all the questions and the administrator of the building will contact you.

Email *

Organization requesting use of the facility *

Date you are requesting the facility for: *

YYYY

Time beginning at: *

Time

Time ending at: *

Time

Facility requested (Include which building and what areas of that building you would like to use.): *

Purpose for which facility will be used: *

Will there be food served? *

Yes

Will there be beverages served? *

Yes

Are you wanting to use the kitchen? If yes, this will need to be coordinated and approved by our nutrition director and there will be an additional charge. *

Yes

Other items that will be needed: *

Will you need custodians for clean up? If yes, this will be an additional charge. If you mark no, you agree to leave the facility how it was found. *

Yes

Adult responsible or in charge of the group: *

Phone number of the adult responsible: *

Any additional comments:

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