Facility Use Form

Please complete the form below:

Organization or Group Name	*
Place of Meeting	*	HS Gym HS Commons HS IMC HS Auditorium HS Outdoors HS FCS Room HS South Gym HS Conference Room (personnel only 8am-4pm) EL Multi-Purpose Room EL Gym EL IMC EL Outdoors 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
Date Needed	*
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)	*
End Time	*
Will you be serving food?		Y N
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 Name	*
Contact Email Address	*
Phone Number (Day)	*
Phone Number (Night)
For Office Use Only
Rental Charge:
Other Charges:
Reasons for Other Charges:
Custodians Assigned:
Cooks Assigned
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.