Simi Valley High School Master Calendar/Facilities Use Request- 2018-2019
The purpose of this form is to request a date and time on the Pioneer Master Calendar and/or to request to use a facility on campus. You will be notified by email whether your request has been approved or denied. Please be sure to complete this form well in advance of your event (2 weeks minimum).

If you are an on site group (athletics, club, etc.) and have any questions in regards to approval or denial you may call the ASB office to speak to the ASB secretary, Christine Olson at christine.olson@simivalleyusd.org

If you are a private group or out of district group interested in using our facilities please note that our plant managers office will contact you with pricing and availability of dates requested.

Name of Event: *
Your answer
Date of Event *
Example: 6/19/2015
MM
/
DD
/
YYYY
If you plan of requesting multiple dates for the same event/time please include the additional dates
Example: 6/20/2015 and 6/21/2015 Or Wednesdays from 6/20/2016 to 8/16/2016
Your answer
Set up start time *
Example: 8:00 AM If you need no time to set up make this the same time as the start time...
Time
:
Event Start Time *
Example: 11:00 AM
Time
:
Event End Time *
Example: 2:00 PM
Time
:
Location: *
If your event is off site example "Fundraiser at El patio" please check off Calendar Request only
Required
# of Participants *
Set Up *
MPR= Lunch Set, Theater Set, # of Aisles, Straight or Diagonal, Gym= Bleachers in, out, Hoops up, down etc.
Your answer
Description *
Please include notes for site set up if necessary
Your answer
Equipment Needed *
Microphone, Podium, Lights, Screen, etc.
Your answer
Custodial Support Needs *
Please indicate whether you need custodial support ie. facilities open, gates open, restrooms needed, outside lights, etc.
Your answer
Fee Schedule
This applies to all off-campus groups and weekend activites
Food? *
Contact Person/On Site Representative *
Your answer
Contact Number/Email *
Please Submit Cell Number and Email
Your answer
Submit
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