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Building Use Form
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* Indicates required question
Email
*
Your email
Name of Person submitting the request
*
Your answer
Email of Person submitting the request
*
Your answer
Phone number of Person submitting the request
*
Your answer
Date of use
*
MM
/
DD
/
YYYY
Building to be use?
*
Elementary
High School
Name of the event for which the facility will be used.
*
Your answer
Equipment needed
*
Your answer
Estimated number of hours
*
Your answer
Agree to pay building use/rental fee if required
*
Yes
No
Agree to clean ourselves and understand if we do not do so to the satisfaction of the school we may be billed
*
Yes
No
Agree to pay cleaning fee ($20 an hour maximum)
*
Yes
No
Agree to pay any damages
*
Yes
No
Required
Agree to pay an building lock/unlock fee
*
Yes
No
Billing name and address
*
Your answer
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