Building Usage Request - Building Usage

Today's Date: *

/

Event Date: *

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Organization: *

First Name: *

Last Name: *

Phone Number: *

Email: *

Billing Address: *

Event Description: *

Set-Up Arrival Time: *

Event Start Time: *

Event End Time: *

Equipment Needs (ie: tables, chairs, podium, computer, projector, PA System, screen): *

Sports Equipment (ie: balls, nets, etc.): *

Additional Information: *

Building Usage Procedures Policy: *

Yes

No

I agree to the terms and conditions of Pipestone Area Schools Building Usage Procedures Policy.