JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Building Use Form
Please complete all of the following fields. Once completed please email your Certificate of Insurance to
jjeffries@phoenixcsd.org
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name of Organization
Your answer
Person in Charge / Address / Phone number
Your answer
Proof of Liability Coverage
Yes
No
Clear selection
What facility are you requesting
Your answer
Date(s) of event(s)
Your answer
Event Start time and end time
Your answer
Are you charging a fee or admission
Yes
No
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Phoenix Central School District.
Report Abuse
Forms
