Elementary Facility Use Request Form
Thank you for completing the facility use request form. Please note that completion of this form does not automatically mean that the event has been approved or that the requested location is available. Once the form is submitted, the building secretary and/or principal will contact you to confirm receipt and approval of event. 
Email *
Name of Event *
Contact Person *
Contact Phone *
Contact Email *
Location within the school that event will take place (i.e. gym or cafeteria) *
Date of Event *
MM
/
DD
/
YYYY
Time of Entry *
Time
:
Time of Exit *
Time
:
Estimated Number of Participants *
Is a custodian needed for the event? *
Is set up required by the Maintenance Department? *
If set up from Maintenance is required, please explain what is needed. Include whether you need tables and chairs, how many, audio or visual setup, or anything additional. 
A copy of your responses will be emailed to .
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