CCA Community Activity Form
Please submit this request form at least 2 weeks before your event. This form must be filled out and approved before holding any enrichment activity or special event at CCA. In submitting this request, you understand that you will be responsible for setup and cleanup in the room used, as well as, making arrangements for securing the building when used after school hours.
Primary Event Contact
Primary Event Contact Email
Primary Event Contact Phone Number
Purpose/ Name of Event
Date of Activity
Total Event Time
Ex: 11:00am - 1:00pm
Location of Event (Room)
Outside Vender's Name and Contact Information (If Applicable)
Technology Equipment Needs (please check all that apply)
Sound for Computer Presentation
Projector and Screen
If applicable, please describe how many microphones and microphone stands you need.
Equipment Needs (please check all that apply)
Stage and Steps
Set of Stanchions
Backdrop to Stage
If applicable, please describe how many cafeteria tables, folding tables, and folding chairs you need.
Please list any other requests below.
By typing my name below, I acknowledge that I have obtained permission to use the intended space(s) by the person(s) in charge of the space.
Ex: If the library is involved, get librarian's signature.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Cherry Creek Academy.