Building Use Request Form

Enter your first and last name in the space provided below.

Enter your event in the space provided below.

Enter the location requested in the space provided below.

Enter the date of your event :

-- mm/dd/yy

Is this an ongoing event?

Yes No

Enter the time of your event :

-- hh:mm am/pm

How many people are expected to attend?

Enter the setup time of your event:

-- hh:mm am/pm

Enter the cleanup time of your event :

-- hh:mm am/pm

Enter your sponsor or affiliated group in the space provided below.

Please provide the following information for the contact person:

Work Phone
Home Phone
E-mail

---