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