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Name of Organization:
Person responsible for arrangements:
What area of the building are you requesting?
Elem: School Gym
Elem: Art Room
High: School Gym
Other, please specify
What date are you requesting the building:
What type of activity will take place? (Dance, Mtg, Banquet, etc)
Set up by technology, custodial, and or cafeteria staff(if needed)
If you selected that you need technology, custodial, and or cafeteria staff please list what you need.
If you requested security how many will you need:
Rental or staffing fee to be paid:
Signature- Organization repersentative:
Please type your name.