After Hours Facility Use Form: For use Monday - Friday *3:45 PM and All Weekends/Holidays

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* The purpose of this form is to alert the facilities manager in advance of events and to not overlap or double book meeting areas. Please fill out this form anytime if you will be using the school facilities for a meeting or event that involves more than just yourself and it will start before 8:15 or go past 3:45 PM during the week or anytime on the weekends. Thank you for your cooperation. This form needs to be filled out 3 business days PRIOR to the event or will be subject to cancellation.

Please fill out this form and email Dan Hogan at dan.hogan@pcsed.org to secure your event.

Name and description of event. *

Name of supervisor
*

Phone # of person in charge
*

Event date *

YYYY

Is this a recurring event? *

Yes

If you answered yes to recurring event, when are the events happening (weekly on Thursdays? 1st Monday of the month, etc..)

What is the final date that these events will take place? *

YYYY

Event location *

Event Start Time ( include set up time)
*

Time

Event End Time ( include clean up time)
*

Time

Student Government Event?
*

Yes

If Student Government Event: Name of Student Organizing

Email of Student Organizer

Number of Attendees ( students, parents, community members)
*

Names of additional chaperones (or none)
*

I understand and agree that I will:

Ensure supervision of students.

Yes

Required

I will gain prior permission to use other teachers classrooms in advance.
*

Yes

I will ensure things are put back the way they were found, ie- furniture, chairs, tables.
*

Yes

I will make sure that garbage and recycling and food are taken out/put away after event.
*

Yes

I will ensure all doors and windows are locked and closed when I leave and all students have left before I leave the building.
*

Yes

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