ORHS Internal Facility Use Request Form 2019
Please submit this "Facility Request Form" 2 WEEKS IN ADVANCE in order to schedule facility access. All information must be provided on this form to be processed. You will receive an email with an approval or denial. If denied a rationale will be provided. Please note if on the day of the event you request additional items or facility access it may be denied.
Last Name *
Your answer
First Name *
Your answer
Email Address *
Your answer
Phone number
Your answer
Name of Organization/Class/Team *
Your answer
Facility to be used? *
Event Date *
MM
/
DD
/
YYYY
Alternative Date *
MM
/
DD
/
YYYY
Start time *
Time
:
End time *
Time
:
Purpose of event *
Your answer
Expected Attendance *
Your answer
Will admission fee, collection, or solicitation of funds be involved? If yes, please note a "Fundraiser/Activity Request" must be on file with ASB. *
Room Set-Up (How many chairs, tables, technology, special equipment and other instructions such as access to restrooms?) If no set-up is needed please state, "No Set-Up." *
Your answer
ACKNOWLEDGEMENT *
Required
Submit
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