Facility Usage Request Form
Please complete this form for all facility requests at least two weeks prior to the requested dates. More information about the facility usage guidelines can be found here:

https://www.vmbulldogs.com/cms_files/resources/Facility%20Usage%20Agreement%2018-19.pdf

Name of Person Requesting Facility *
Example: Rick Roberts
Your answer
Email of Person Requesting Use of Facility *
Your answer
Cell Phone # of Person Requesting Use of Facility *
Example: (515) 996-2221
Your answer
Name of Space Requested *
Date Requested *
If requesting multiple dates, enter them below. You can only request 4 dates at a time up to 4 weeks in advance.
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DD
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YYYY
Time Requested *
No more than 1 hour and 30 minutes can be requested for gym space unless other arrangements have been made with the district. Example: 4:00 p.m. to 5:30 p.m. If requesting more than one date and times, enter the time below each date requested.
Your answer
Other Date Requested
MM
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DD
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YYYY
Time Requested
Your answer
Other Date Requested
MM
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DD
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YYYY
Time Requested
Your answer
Other Date Requested
MM
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DD
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YYYY
Time Requested
Your answer
Please describe the activity of the request. *
Example: 6th Boys Basketball, VMEPC, High Altitude Wrestling Club
Your answer
Submit
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