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PBMS Master Calendar / Facility Use Request
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* Indicates required question
Email
*
Your email
Name of Requestor and Organization
*
Your answer
Staff Sponsor or Person Responsible for Supervision and/or use of Equipment and Facility
*
Your answer
Planned Activity
*
Your answer
Date of Activity
*
MM
/
DD
/
YYYY
Is an assembly bell schedule needed? (only Th/Fri)
Early 1 hour assembly
30 minute assembly
60 minute assembly
Start Time of Activity
*
Time
:
AM
PM
End Time of Activity
*
Time
:
AM
PM
Set Up Time
*
Time
:
AM
PM
Location of Activity ( example: PIT, Library, etc.)
*
Your answer
Services Needed
*
Custodial
Finance / Cashier
Supervision
Other:
Required
Furniture / Equipment Needed
*
None
Document Camera
DVD Player
Microphone
PA/Sound
Podium
Screen
T.V.
Video Projector
Chairs (if more than 1, specify how many in "Other" below)
Tables (if more than 1, specify how many in "Other" below)
Other:
Required
Contact Information (Phone Number/extension required)
*
Your answer
Notes
Your answer
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