Facility Use Request Form

District Facility Use Form

Today's Date:

Organization/Individual Requesting Facility:

Business Address: Business Phone:

Contact Person: Home Address:

Home Phone: Cell Phone:

Email Address:

Check what type of Organization: School For-Profit Non-Profit

Please Select which School Rooms you are requesting (Hold CTRL Key and Click to select more than one room)

High School	Middle School

Elementary School	Athletic Field

Other Room (please list what rooms needed):

Event Title:

Purpose of activity/event:

Is this a school or school sponsored event?

Event Date or Dates: Start Time Setup Start Time:

Event End Date: End Time: Cleanup/Breakdown End Time:

Number Attending:

Equipment/Services requested: IT/Technology Grounds Security

Kitchen Facility: (requires additional fees and approval of Food Services Director)

Number of tables needed: Number of chairs/seats needed:

List below any addtional services needed:

Richmond Community Schools