Facility Usage Request
Request Form to use Blairsville-Saltsburg School District Facility
Email address *
Name of requester *
Your answer
Event or activity *
Your answer
Campus of facility requested *
Room or area requested *
Your answer
Date of facility use *
MM
/
DD
/
YYYY
Start time for the use *
Time
:
End time for the use *
Time
:
Organization *
Your answer
Event
Your answer
Estimated number of participants *
Your answer
Telephone number of contact person who will be in attendance *
Your answer
Will Admission be charged *
Security, maintenance or other services (fees to be charged to the requesting organization or individual) *
Required
Other Services - Please list the other services requested (if none, please answer "none" *
Your answer
Will you need the facility for more than one date? *
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