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Facilities Use Request Form
Facilities Use Request Form
Please complete the form below. Required fields marked with an asterisk *
Name of group requesting use:
Answer Required
Name of person completing form:
Answer Required
Contact Phone Number:
Number Required
Area of campus requested to use:
Answer Required
School equipment requested to use:
Answer Required
Requested date start:
Answer Required
Requested date end:
Answer Required
Requested Time Start:
Answer Required
Requested Time End:
Answer Required
Estimated attendance:
Answer Required
Will admission be charged?
Answer Required
Yes
No
Will consessions be sold?
Answer Required
Yes
No
I have read the above board policy.
Answer Required
Yes
No
Proof of insurance:
Please upload photo or scan of insurance card.
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Confirmation Email
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