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Facility Reservation Form
Facility Reservation Form
Individual, Group or Organization
*
Answer Required
Today's Date
*
mm/dd/yyyy
Answer Required
Contact Person
*
Answer Required
Email Address
*
Answer Required
Phone Number
*
Answer Required
FAX Number
Answer Required
Address
*
Answer Required
City
*
Answer Required
State
*
Answer Required
Zip
*
Answer Required
Start Date of Request
*
Answer Required
End Date of Request
*
mm/dd/yyyy
Answer Required
Actual Start Time of Request
*
Answer Required
Actual End Time of Request
*
Answer Required
Alternate Start Date
In case your requested dates are not available, please complete the alternate date(s) and time(s) fields below.
Answer Required
Alternate End Date
Answer Required
Alternate Start Time of Request
Answer Required
Alternate End Time of Request
Answer Required
Event Type:
*
Answer Required
Athletic
Civil Service
Education Based
Nonprofit
Private Company
School
Facility (select all that apply):
*
Answer Required
Auditorium
Gym
Meeting Room
AWC Conference Rooms 210 A, B, C
Classroom
Swim Center
Deaf Smith Center
Football Field/Track
Softball Field
Cafeteria
Amphitheater
Cottage
Professional Shoot
Auditorium Request: Check if you need the equipment below.
Answer Required
special lighting
microphones, podium, platform or screen
fog or smoke
If you are requesting the cafeteria will food be served?
Use of the cafeteria kitchen is not permitted.
Answer Required
yes
no
Football Field/Track Request: Select all that apply.
Answer Required
The concession stand is needed.
This is a water activity.
Trash cans are needed.
Gym Request: Please make a selection from the list.
Answer Required
Please Select
Clinger
Seeger
TSD
Do you need any of the following?
Answer Required
scoreboard
team seating
bleachers
audio
Meeting Room Request: Please make a selection from the list.
Answer Required
Please Select
CTE Dining Room
Lecture Hall
Multi-Purpose Room
Please describe the activities of the individual, group or organization requesting to use the facility:
*
Answer Required
Approximately how many people will use the facility?
*
Answer Required
Do you need Congress gate open?
Answer Required
yes
no
Will you charge admission for the activity you conduct at the facility?
*
Answer Required
yes
no
If yes, what is the amount?
Answer Required
Will you need event set-up (tablecloths, chairs, tables)?
*
Answer Required
yes
no
Will you need to set-up prior to the event?
*
Answer Required
yes
no
Please explain the desired set-up of the facility and any special equipment:
*
Answer Required
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