Facility Use Form
Please complete the form below:
Organization or Group Name
Place of Meeting
HS FCS Room
HS South Gym
EL Multi-Purpose Room
EL Art Room
Purpose of Meeting
Directions : You need to have one start time and end time per form. You may have multiple dates with the same start times. If you have varying start times use separate forms. Examples : Practice 7:00 pm on 5 consecutive Mondays --- One Form Practice 5:00 pm on 2 Mondays and 3:00pm on Tuesdays --- Two Forms
Additional Date (2)
Additional Date (3)
Additional Date (4)
Additional Date (5)
If more than five dates are needed please enter here. (mm/dd/yy format)
Start Time (When the building needs to be ready including prep time)
Will you be serving food?
Are there set up needs our staff should be aware of?
If you are serving food, please describe.
Is there anything else we should know?
Contact Email Address
Phone Number (Day)
Phone Number (Night)
For Office Use Only
Reasons for Other Charges:
Complaints, Damages Problems Reported:
Date Fees Paid:
For Custodian Use Only:
Actual time the building was used by the Groups or Individual ________ to _______ Total Time__________
Total Time Worked at the Event _____________ including preparation and cleanup.