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Madison High School Activity Request Form
Thank you for completing the form. Please be as detailed as possible, as custodial will only be able to setup what is on the form. They will do their best to accommodate for last minute changes, but that will be based on availability.
* Indicates required question
Email
*
Record my email address with my response
Is this a new activity request or modification to a previous request?
*
New Activity Request
New Fundraiser Event
Activity & Fundraiser
Change a Previously Submitted Request
Faculty/Staff Sponsor
Your answer
Faculty/Staff Sponsor Email
*
Your answer
Faculty/Staff Sponsor Contact Number
*
Your answer
Event Name
*
Please word this in a way you would want it to be posted on the calendar. For Example Academic League v UC High
Your answer
Participant #
*
How many participants will be involved? If you're not sure, give your best guess.
Your answer
Spectators #
*
How many participants will be involved? If you're not sure, give your best guess.
Your answer
Start Date
*
MM
/
DD
/
YYYY
End Date
*
MM
/
DD
/
YYYY
Start Time
*
Time
:
AM
PM
End Time
*
Time
:
AM
PM
Facility Name
*
Field- Football
Track
Gym
Theater (PAC)
Field- Softball
Field- Baseball
Auto Shop
Auto-torium
Library
Tennis Court
Cafeteria
Building 100 (In Setup Instructions, please specify room)
Building 200 (In Setup Instructions, please specify room)
Building 300 (In Setup Instructions, please specify room)
Building 400 (In Setup Instructions, please specify room)
Building 500 (In Setup Instructions, please specify room)
Building 600 (In Setup Instructions, please specify room)
Building 700 (In Setup Instructions, please specify room)
Building 800 (In Setup Instructions, please specify room)
Building 900 (In Setup Instructions, please specify room)
Building 1000 (In Setup Instructions, please specify room)
Bungalows
Other:
Required
Setup Instructions
*
Please be as detailed as possible. If you selected a building or larger space, be sure to identify specific room(s)/space(s) here. Will you need tables? If so, how many? Chairs? Will you need any technology such as mic, computer, etc.? Will you need any other accommodations?
Your answer
By submitting, you are also verifying that you communicated with the appropriate staff member who regularly uses the facility.
*
Athletic Facility- R.Jackson & O'Neal, AutoTorium- O.Sevilla, IMTSS-Chen, PAC-G.Oberle
Yes, I have communicated.
A copy of your responses will be emailed to .
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