Name of Organization
Email Address
Contact Person
Contact Phone Number
Number Attending
Number of Tables Needed
Date of Event
Area/Room Requested
Start Time
Technology/AV Equipment Needed
End Time
Laptop Computer
Projector
Presenter/Laser Pointer
Speakers
Microphone
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
Number of Chairs Needed
Please include any additional information in the text box below
Internet Access_formlogix_newline(not available in all areas)
You will receive an email notification from the Activities Director regarding the approval or denial of this request.
Podium
Screen
Durand CUSD #322 Building Usage Request Form
Today's Date
All Building Requests Must Be Made 30 Days in Advance
No
Yes
No
Yes
Heat/Air Needed
Garbage Cans
Name of Event
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