Online Facility Request Form

Required

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.

Namerequired

First Name

Last Name

Title/Positionrequired

*Organization/Grouprequired

Daytime Phone Numberrequired

*Billing Addressrequired

Cell Phone

Email Addressrequired

*Activity/Eventrequired

*Building You Are Requestingrequired

Room Requesting

*Date(s) Requestingrequired

Day(s) Requesting

Skip Dates (if applicable)

Please list 2nd & 3rd options for location, days and times if possible.

Activity/Event Start Timerequired

*Activity/Event End Timerequired

Set up Time (if applicable)

Tear Down Time (if applicable)

Number of Participants Expectedrequired

Will you be selling food or concessions at your event?required

Yes

Will you require any technical services (such as internet, projectors, microphones, etc.)required

Yes

If YES, please explain in detail

Additional Comments

Do you currently have insurance on file with ISD 192?required

Yes

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Online Facility Request Form

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