Online Facility Request Form

Online Facility Request Form
Online Request Form 
Please fill out the following information. When you hit SEND, this form will go to the Facilities Scheduler. Reservations are NOT confirmed until you have received an email copy of your facility request (permit) and approved the request. 


Please allow 10 business days for processing.

*Full Name
*Daytime Phone
*Billing Address
  Cell Phone
*Building You Are Requesting 
  Room Requesting
*Date(s) Requesting
  Day(s) Requesting
  Skip Dates (if applicable)
  Please list 2nd & 3rd options for location, days and times if possible.
*Activity/Event Start Time
*Activity/Event End Time
  Set up Time (if applicable)
  Tear Down Time (if applicable)
*# of Participants Expected
*Will you be selling food or concessions at your event?
  Will you require any technical services (such as internet, projectors, microphones, etc.)
  If YES, please explain in detail
  Additional Comments

Insurance Information
  Do you currently have insurance on file with ISD 192?




* Indicates Required fields.

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