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Dominguez High School Facilities Request Form
Please complete this request form if you wish to use a Dominguez High School facility
Facility Requested *
If Classroom(s) requested, provide room number(s)
Your answer
Day of Event *
MM
/
DD
/
YYYY
Start time of Event *
Your answer
Length of Event *
Give specific description of event *
Your answer
Technology Needs *
Required
Is restroom access needed for the event? *
Required
Name of person/organization requesting facility *
Your answer
Phone number where organizer can be reached *
Your answer
Email where organizer can be reached *
Your answer
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