NLSD Facility Request Form
This request does not guarantee that facility is available and/or that request will be granted.  All usage of the facilities are according to NLSD policies.
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Email *
Contact Name *
Contact Phone *
Organization / Purpose *
Date *
MM
/
DD
/
YYYY
Single Occurrence or Multiple *
List any other dates being requested or
Start Time *
Time
:
End Time *
Time
:
Rooms Needed *
Required
Equipment Needed
Will event be open to spectators or server food?   *
A copy of your responses will be emailed to the address you provided.
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