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ZED Facilities Use Request Form
This form must be submitted a minimum of one week in advance of the event date.
Before filling out this form, read through our Facility Use Guidelines form and Fee
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* Indicates required question
REQUESTER INFORMATION
Your Name
*
First and last name
Your answer
Email
*
Your answer
Cell Phone #
*
Your answer
Name of Organization/Group/School
*
Your answer
Complete Mailing Address
*
Your answer
Purpose of Request/Name of Event
*
Your answer
Describe the event and list the activities planned during the use of the facility
*
Your answer
Facility requested (check all that apply)
*
Gym-$40/hr (This includes access to the school cafeteria)
Conference Room-$25/hr
Required
Approximate number of people attending this event
*
Your answer
Date(s) requested for event
*
Your answer
If repeating or multi-day event, indicate all dates needed
Your answer
Time event will start
*
Time
:
AM
PM
Time your staff will enter building for set-up
Time
:
AM
PM
Time event will end
*
Time
:
AM
PM
Time your staff will exit building
*
Time
:
AM
PM
Will event require use of bleachers?
Yes
No
Clear selection
Bleacher Requirements
Bleachers in OUT position (requires Full Court use of gym)
Bleachers in IN position
N/A
Clear selection
Are there any special needs or considerations not mentioned above?
Your answer
A ZED site supervisor is required for all "live" events with an audience.
*
Supervisor is supplied by ZED and will remain on-site during entire rental period. Facility renter will pay a fee of $25/hr for supervisor.
I acknowledge I will pay for a site supervisor in the case of a live event with an audience
Required
Procedures for Facility Use acknowledgement
*
I have read and understand ZED Procedures for Facility Use
Required
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