CHS On Campus Request Form
Email address *
Name of Contact Person *
Your answer
Requesting Organization *
Your answer
Phone Number or Extention *
Your answer
Name of Event *
Your answer
Will you be charging fees for this event? *
Area that you are requesting *
Your answer
Date of Event? *
MM
/
DD
/
YYYY
Beginning Time of Event *
Time
:
Ending Time of Event *
Time
:
Amount of Time for Setup *
Your answer
Amount of Time for Cleanup (for custodial staff) *
Your answer
Is this an Ongoing Event? If yes, list dates: *
Your answer
Are the times same? If not then please list Days and Time. *
Your answer
Equipment Needed
Your answer
Will there be a flyer for this event? If so, then it needs to be approved by Michelle Belle at the district office. Her email is michelle.bell@carlsbadusd.net *
Your answer
How many kids/adults will be attending the event? *
Your answer
Any additional comments
Your answer
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