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Fortuna Union High School District
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Staff Facility Use Form
Please complete the form below. Mandatory fields marked
*
Today's Date:
*
Requestor Information
Organization:
*
Name of Event:
*
Contact Name:
*
Contact Phone:
*
Contact Email:
*
Purpose of Use:
*
Number Expected:
*
Dates and Times of Requested Use
Date:
*
Start Time:
*
End Time:
*
Date:
Start Time:
End Time:
Date:
Start Time:
End Time:
Date:
Start Time:
End Time:
Date:
Start Time:
End Time:
Date:
Start Time:
End Time:
For reoccuring dates:
Start Date:
End Date:
Start Time:
End Time:
Facility/Facilities Requested:
Please select the facility you are requesting to use:
*
Mary Hanley Theater
Damon Gym
Cafeteria
Library
Logan Gym
Track
Classroom #
Husky Field
Snack Shack
Kitchen
Other
Will you need a key?
Yes
No
Special Requests
Please select special request(s):
Projector
Sound System
Computer Cart
Score Board
Podium
Chair(s) #
Microphone
Tables(s) #
Other:
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