Request For Use Of Facilities printable pdf download

Form H

REQUEST FOR USE OF FACILITIES

(Must be submitted two weeks in advance of event to Coordinator of Facility Use. Use back for additional explanations.)

Event __________________________________________________ Date Submitted ______________

Proposed Date(s) of Use ____________________________ Day(s) of Week ____________________

Building Involved _____________________ Rooms to be Used _______________________________

Set Up Time ______________ Starting Time of Event _____________ Ending Time ______________

! Special Gate Request Times (Security Required After Hours): In: ________

Out: ________

Is this event open to the public? !Yes ! No

Will a fee be charged? !Yes !No

# Attending _____

Physical Plant Services Required:

! Delivery/Set-Up of Chairs (#___) Round Tables (#___) 8 Foot Tables (#___) to ________ (location).

! AC/Heating

Furniture Arrangement (attach diagram)

! No

!Yes

! Other Services ____________ _______________________________________________________

Special Cleaning Required? !Yes

! No

If Yes Account # _______________________________

Cleaning Details: ______________________________________________________________________

Technical Support will be needed? ! Yes

! No

Explain ____________________________________

____________________________________________________________________________________

Rented Materials to be Delivered. Item(s) _________________________________________________

Vendor ______________________________

Person Responsible ____________________________

Date & Time of Delivery __________________ Date & Time of Pick Up _________________________

Food: ! will be served.

!will not be served.

If so, by: ! Food Service

! H H Parents

! Outside Caterer: Name_______________________

Date & Time of Delivery _______________________ Date & Time of Pick Up ____________________

Do you want this event listed on the monthly calendar if possible?

! Yes

! No

(Calendar deadline is the 10

of the month prior to the event)

Approval Signatures: Upon approval, area will be reserved.

Faculty Supervisor-Adult Responsible _________________________ Phone # _____________

Division Head or Athletic Director __________________________________________________

Coordinator of Facilities Use __________________________ Date ______________________

*Notify Coordinator of Facilities, ext. 730, immediately of any changes or cancellation

FOR OFFICE USE ONLY:

Head of School

Technical Director

Security

Insurance Binder

Division Head

Faculty Supervisor

Other _______

Rental Fee Paid

Physical Plant

Food Service

Request For Use Of Facilities

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