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Facility Reservation Form
Facility Reservation Form
Individual, Group or Organization
*
Answer required for "Individual, Group or Organization"
Today's Date
*
mm/dd/yyyy
Answer required for "Today's Date"
Contact Person
*
Answer required for "Contact Person"
Email Address
*
Answer required for "Email Address"
Phone Number
*
Answer required for "Phone Number"
FAX Number
Answer required for "FAX Number"
Address
*
Answer required for "Address"
City
*
Answer required for "City"
State
*
Answer required for "State"
Zip
*
Answer required for "Zip"
Start Date of Request
*
Answer required for "Start Date of Request"
End Date of Request
*
mm/dd/yyyy
Answer required for "End Date of Request"
Actual Start Time of Request
*
Answer required for "Actual Start Time of Request"
Actual End Time of Request
*
Answer required for "Actual End Time of Request"
Alternate Start Date
In case your requested dates are not available, please complete the alternate date(s) and time(s) fields below.
Answer required for "Alternate Start Date"
Alternate End Date
Answer required for "Alternate End Date"
Alternate Start Time of Request
Answer required for "Alternate Start Time of Request"
Alternate End Time of Request
Answer required for "Alternate End Time of Request"
Event Type:
*
Answer required for "Event Type:"
Athletic
Civil Service
Education Based
Nonprofit
Private Company
School
Facility (select all that apply):
*
Answer required for "Facility (select all that apply):"
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 for "Auditorium Request: Check if you need the equipment below."
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 for "If you are requesting the cafeteria will food be served?"
yes
no
Football Field/Track Request: Select all that apply.
Answer required for "Football Field/Track Request: Select all that apply."
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 for "Gym Request: Please make a selection from the list."
Please Select
Clinger
Seeger
TSD
Do you need any of the following?
Answer required for "Do you need any of the following?"
scoreboard
team seating
bleachers
audio
Meeting Room Request: Please make a selection from the list.
Answer required for "Meeting Room Request: Please make a selection from the list."
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 for "Please describe the activities of the individual, group or organization requesting to use the facility:"
Approximately how many people will use the facility?
*
Answer required for "Approximately how many people will use the facility?"
Do you need Congress gate open?
Answer required for "Do you need Congress gate open?"
yes
no
Will you charge admission for the activity you conduct at the facility?
*
Answer required for "Will you charge admission for the activity you conduct at the facility?"
yes
no
If yes, what is the amount?
Answer required for "If yes, what is the amount?"
Will you need event set-up (tablecloths, chairs, tables)?
*
Answer required for "Will you need event set-up (tablecloths, chairs, tables)?"
yes
no
Will you need to set-up prior to the event?
*
Answer required for "Will you need to set-up prior to the event?"
yes
no
Please explain the desired set-up of the facility and any special equipment:
*
Answer required for "Please explain the desired set-up of the facility and any special equipment:"
Calendar
Students
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