JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Facility Account Request for New Users
If you have any questions, or would prefer to speak to someone over the phone, please call (651) 621-6055.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Organization Information
Type of Organization
*
Examples: Sports Team, Dance Competition, Girl Scouts, etc
Your answer
Name of Organization
*
Your answer
Does your organization reside and operate within ISD 621 boundaries?
*
At least 75% of roster/group must be district residents to answer "yes"
Yes
No
Age of Participants
*
youth
adults
Classification Type
*
Non-profit organization
For-profit organization
Other:
If you are a non-profit organization, can you provide proof of your 501(c)(3) status?
*
Yes
No
Contact Information
Contact Person First & Last Name
*
Your answer
Role of Contact Person
*
i.e. President, Scheduler, Billing
Your answer
Mailing Street Address, City, State, Zip Code
*
Your answer
Is this account for a Business or Personal Account?
*
Business
Personal
Other:
Cell Phone Number
*
Your answer
Email Address
*
Your answer
Additional Contacts
Do you have additional contacts you would like to have access to your facility account?
*
Yes
No
Maybe
Please list full name, email address, phone number, and role for all additional members
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Mounds View Public Schools.
Does this form look suspicious?
Report
Forms