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Room Usage Request
Use this form to request usage of the Old Gymnasium, Old Cafeteria, or Music/Conference Room
Name
Your answer
Organization
Your answer
Email Address
Your answer
Phone Number
Your answer
Room
If using the Old Cafeteria, do you require use of the kitchen. Please note that you will be charged a $25 fee for its use.
Date
MM
/
DD
/
YYYY
Start Time
Time
:
End Time
Time
:
Reason for Use
Your answer
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