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Facility Use Request Form
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* Indicates required question
Date of Request / Event
*
MM
/
DD
/
YYYY
Time
:
AM
PM
End Time
MM
/
DD
/
YYYY
Time
:
AM
PM
Facility / Location of Request
*
Choose
Elementary Gym
Rock Gym
Secondary Gym
Cafeteria
Please Provide a Description of Your Event
*
Your answer
Does your even require custodial staff? (Yes includes a cost)
*
Custodial staff is not required; however the facility must be left in a clean state.
Choose
Yes
No
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