Facility Use Request
Please submit requests at least 2 weeks in advance.
You will receive a confirmation email from administration once your request has been approved.
Teacher Name *
Your answer
Email Address *
An LAUSD email address is required.
Your answer
Activity/Event Name *
Your answer
Facility to Be Reserved *
Start Date *
MM
/
DD
/
YYYY
End Date (if applicable)
MM
/
DD
/
YYYY
Start Time *
Time
:
End Time *
Time
:
Purpose of Room/Facility Use *
Your answer
Comments
Your answer
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