MISD Activity & Event Request Form

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All requests must be made a minimum of 2 weeks in advance to allow adequate time for scheduling.

Please complete this form to begin the process of scheduling your activity or event.

Name *

Email address
*

Phone number
*

Which organization or group are you affiliated with? *

MISD Employee

PTSA Representative

ASB Club Representative

Booster Club Representative

Mercer Island Community Member, not affiliated with a school group

Other:

Onsite point of contact during the event:

Self

Other:

Clear selection

Onsite point of contact email address (Leave blank if the contact is the same as the person completing the form)

Self

Other:

Clear selection

If a student is completing this form, who is the advisor or staff member supporting the event? *

If a student is completing this form, what is the email address of the advisor or staff member supporting the event?
*

Date of event *

If your event is occurring within the next two weeks, do not complete this form. Instead, reach out to your building admin assistant to request approval for the event on short notice.

YYYY

Is this a recurring event? *

Yes

If yes, please list all dates for your event.

Does your event take place during the school day? *

Yes

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