Facilities Usage
Complete this form to request use of a gymnasium or commons area/cafeteria.

NOTE: There is a $50 per hour reservation fee. If needed, there is a $25 per hour Child Nutrition fee and/or Janitorial fee.
NO FOG MACHINES ALLOWED.

Email address *
Organization requesting use of facility: *
Your answer
Name of individual in charge of event: *
Your answer
Phone number: *
Your answer
Address: *
Your answer
Brief description of activities or events: *
Your answer
Location(s) of activities or events: *
Your answer
Date needed: *
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YYYY
Additional date needed (use if needed for multiple days):
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Start and End Times: *
Your answer
Any kitchen items or use must be approved by the Child Nutrition Director. Items requested for use: *
Required
The Building Principal will have the key and instructions for building use. Key MUST be returned on the day following the scheduled activity. Name of individual who will be responsible for building and in charge of key: *
Your answer
Name of individual completing form: *
Your answer
Today's Date: *
MM
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DD
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YYYY
A copy of your responses will be emailed to the address you provided.
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