Facility Request Form
* Required
Facility Request Form
It is understood that School District activities have preference over outside activities in using the school buildings and this request is subject to cancellation if the requested facility is needed for a school activity.
First Name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Organization / Group
Your answer
Event Title
*
As you want the Event to be shown on the Event Calendar
Your answer
Facility Requested
*
Choose
HS Gym
JH Gym
Cafeteria
Study Hall
Auditorium
HS Library
EL Library
Pool
Ayersville Employee
*
Events/Activities held on the Ayersville Local School District grounds are required to have an Ayersville Local School District employee responsible for the event. Please indicate below which employee has agreed to be the school representative.
Your answer
Beginning Date
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Ending Date
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Purpose of Activity
*
Your answer
Technology Resources Needed
*
None
Projection System
Microphone
Speakers System (for playing music)
DVD Player
Required
Admission Charge
*
Yes
No
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