Elementary/Fieldhouse Facility Use

ES/Fieldhouse Facility Use Request Form
Elementary/Fieldhouse Facilities Use Form
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Name of Organization/Group/Individual

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Contact Telephone

Email Address

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Facilities Requested

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Date(s) of Use

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Time of Use

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Purpose of Use

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Individual/Individuals in charge (Over 21 years old)

NOTES (Any other information you would like to add such as technology needs, etc.)

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Have the group leaders herein assigned read the Board Policy relative to the use of the facilities requested and do they agree to follow this policy?

Have the group leaders herein assigned read the Board Policy relative to the use of the facilities requested and do they agree to follow this policy?



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