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Facilities Use Request Form

Please complete the form below. Required fields marked with an asterisk *

Name of group requesting use:

Answer required for "Name of group requesting use:"

Name of person completing form:

Answer required for "Name of person completing form:"

Contact Phone Number:

Number Required

Area of campus requested to use:

Answer required for "Area of campus requested to use:"

School equipment requested to use:

Answer required for "School equipment requested to use:"

Requested date start:

Answer required for "Requested date start:"

Requested date end:

Answer required for "Requested date end:"

Requested Time Start:

Answer required for "Requested Time Start:"

Requested Time End:

Answer required for "Requested Time End:"

Estimated attendance:

Answer required for "Estimated attendance:"

Will admission be charged?

Answer required for "Will admission be charged?"

Yes

Will consessions be sold?

Answer required for "Will consessions be sold?"

Yes

Usage Fees

Catering Fees

$14.50 breakfast/per person / $24.50 lunch/per person
$150.00 plus $20.00 per hour cafeteria staff for use of cafeteria equipment only

policy

I have read the above board policy.

Answer required for "I have read the above board policy."

Yes

Proof of insurance:

Please upload photo or scan of insurance card.

Answer required for "Proof of insurance:"

Choose a file or drag it here.

Confirmation Email

Answer required for "Confirmation Email"