Facilities Request

CONTACT INFORMATION

Organization

Contact Person(Required)

Email(Required)

Phone(Required)

EVENT INFORMATION

Event Name (public display)

Requested Date(Required)

Event Start Time

Event End Time

Set-Up Start Time

Clean-Up End Time

Event Description

Please add any additional information.

Space Request

Other (specify classroom, field, or other location)

Estimated Number of Participants

OTHER

Set-Up Request

Do you need tables, chairs, any specific way you would like the space set up?

Technology Request

Screen/Projector

Microphone

Technology (other)

AGREEMENT

By submitting this request, I, the organization representative listed below, hereby agree to comply with the rules, regulations, procedures and policies of the Board of Trustees governing the use of school facilities and to take the utmost care in the use of the school property, and to pay for damage to, or loss of, school property arising from my organization's (listed above) use of the building. By entering my name below, I agree that Long Trail School does not assume liability for the acts of the person or organization renting school facilities.