Facility Usage Application - Gaines

 

SPONSORING GROUP:
NAME OF OFFICIAL IN CHARGE:
PHONE NUMBER:
ALTERNATE PHONE:
E-MAIL ADDRESS:
STREET ADDRESS:
CITY:                                   STATE:                          ZIP:
DESCRIPTION OF ACTIVITY:
ROOM REQUESTING:
APPROXIMATE NUMBER OF PARTICIPANTS:
FOR A SINGLE DAY EVENT, PLEASE FILL OUT THE FOLLOWING:  
DATE  OF  EVENT: (select calendar icon to choose): Click Here to select the date
START TIME: (include any set-up time needed) : AM PM
END TIME: (include any take-down time needed) : AM PM
FOR A MULTIPLE  DAY EVENT PLEASE FILL OUT THE FOLLOWING:  
START DATE OF EVENT: (select calendar icon to choose) Click Here to select the date
START TIME OF EVENT: (include any set-up time needed) : AM PM
END DATE OF EVENT: (select calendar icon to choose) Click Here to select the date
END TIME OF EVENT: (include any take-down time needed) : AM PM
ADDITIONAL COMMENTS:

(SPECIFY ONCE A MONTH, EVERY OTHER MONDAY, WEEKLY, ETC....)
PLEASE INDICATE ANY ADDITIONAL EQUIPMENT NEEDS: PODIUM
MICROPHONE
SPOT LIGHT		 COFFEE URN
CHAIRS -
OTHER -  

NOTICE:  All facility requests must be made 10 days prior to date of activity.  If a rental fee is involved with the activity, all payments must be made prior to scheduling the event.  Payments can be made at the Community Education Office in the Mary Crapo Building.

 

Return to the Facility Usage Request Page