Affiliated Group Facility Reservation Request
This form is ONLY for groups like PTO, After Prom, The Ankeny Foundation, and the like.  If you question this, you most likely need to go to the Facility Request Form found elsewhere on this page. 
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Email *
Principal/Administrator of the building requested *
Contact Person for Event *
Street Address (not city state and zip) *
City, State and Zip code *
Phone Number *
What group do you represent? *
Event or Activity *
Date(s) Requested *
MM
/
DD
/
YYYY
Building Requested *
Room/Space Requested *
Is there an admission fee for your event? *
Starting Time of Actual Event *
Time
:
Set Up Time (access to facility) *
Time
:
End Time of Actual Event
Time
:
Tear Down Time (when you leave the facility) *
Time
:
Date you must hear back regarding approval or denial of your reservation?
MM
/
DD
/
YYYY
How many expected in attendance (participants and spectators)
Do you have a background check on file with ACSD?
Clear selection
What else do we need to know about your event? (equipment requests including A/V, access to water, custodial personnel required, security, garbage receptacles needed, etc.) *
Do any of the following apply to your event? *
Required
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