Fortuna Union High School District

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: