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Facilities Form - Basehor-Linwood USD #458
DIRECTIONS: Complete this request form and submit it to the Board of Education Office at least two weeks prior to desired date for use of facilities.
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* Indicates required question
Email
*
Your email
Building
*
BLHS
BLMS
BIS
BES
GRE
LES
ELC
GHES
District Office
TBLSEC
Room or rooms needed:
*
Your answer
Equipment (chairs, P.A. system, tables, kitchen & lunch room area, etc… - indicate type and number):
*
Your answer
Purpose:
*
Your answer
Start Date desired:
*
MM
/
DD
/
YYYY
End Date desired:
*
MM
/
DD
/
YYYY
Time of event (List the start & end time, ie. "Wednesday's from 7:00 - 8:00 p.m):
*
Your answer
Name of Organization:
*
Your answer
Number of persons to be in attendance:
*
Your answer
Person responsible:
*
Your answer
Renter's Address:
*
Your answer
Renter's Phone:
*
Your answer
Renters Digital Signature (Please type in your name below):
*
Your answer
USD #458 Administration Section
ONLY THE BUILDING PRINCIPAL & ASSISTANT SUPERINTENDENT WILL COMPLETE THE FOLLOWING SECTIONS IF APPROVED AND AVAILABLE FOR USE.
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