Request for Use of Facilities
Your request will be confirmed by telephone, mail or email. Any additional required forms and a fee schedule will be returned with the request confirmation.

Before the use of the facility, any required fees must be paid and applicable forms completed. Fees may include custodial services.

Organization Name: *
Your answer
Contact Person: *
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Telephone Number: *
Please indicate work or home.
Your answer
Alternate Telephone Number:
Please indicate work or home.
Your answer
Email: *
Your answer
Event Date: *
Please enter date in numerical form (1/3/12 rather than January, 3 2012).
Your answer
Event Start Time: *
PLEASE INDICATE AM OR PM.
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Event End Time: *
PLEASE INDICATE AM OR PM.
Your answer
Estimated Number of Participants: *
Your answer
Space(s) Requested: *
Choose all that apply.
Required
Event Description: *
Please include as much detail as possible.
Your answer
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