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Homer Facility Use Form
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* Indicates required question
Requesting Organization
Organization Name
Your answer
Name of Requestor
*
Your answer
Contact email
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Daytime Phone
*
Your answer
Cell Phone
Your answer
Facility Requested
School Building
*
Choose
High School
Butts Field
Junior High
Intermediate School
Homer Elementary School
Old Music Building/Bus Garage
Facility/Room
*
Your answer
Date(s) of Event
*
Your answer
Time span of event
*
Example: 2:00-4:00
Your answer
Event Attendance No.
*
Your answer
Purpose of Activity
*
Your answer
Admission Charge
Your answer
Additional Requirements
*
Your answer
Microphones, Sound or Projector required?
*
Yes
No
I have certificate of insurance
*
Please see this for further information (
https://tinyurl.com/u4cfkvu
).
Yes
No
By clicking submit you agree to, and are bound by, the Terms and Conditions for Building Use and the Homer Central School District Code of Conduct as listed below.
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