Facilities Use Request Form
Facilities Use Policy: https://goo.gl/SgfqCu

Please use this form for to request Facilities at Janesville-Waldorf-Pemberton Public Schools.

Completion of this form does not guarantee that the facilities requested.

A copy of this form will be emailed to you upon completion. If you did not receive the email with your request, please check your spam/trash filters. If it is still not located, please contact Activities/Community Ed at 507-234-5181.

Upon request approval or denial, the contact person listed will be notified.

If there are any questions, please contact Activities/Community Ed at 507-234-5181

Email address *
Group Requesting
Please complete this information regarding the requesting group.
Name of Group *
Reason for Use *
Contact Person
Please complete this information regarding the person of contact.
Contact Person - Name *
Contact Person - Cell Phone *
Contact Person - Other Phone
Contact person - Email *
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