Reservation Form
Contact Person
| Name/Last Name |
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| Phone |
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| Cell Phone |
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| Email Address |
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| School |
Clark Avenue Middle School
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EVENT INFORMATION
| Event/Activity Name |
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| Leader's Name |
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| Leader's Phone Number |
+19097322318
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| Brief Description of Event |
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| School Building |
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| Facility |
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| Total Estimated Number of Participants |
100
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| Do you require special equipment or setup? |
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| Please specify |
Screen, adapter, microphone
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Additional Questions
First Preference For Event Date
| Is this event happening on one date or multiple dates? |
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First preference: Single Date - Time
| Date |
2022-12-22
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| Total Event Time (i.e. 2-6pm) |
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| Set-up Time (i.e.2-3pm) |
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| Total Event Time (i.e. 3-5:30pm) |
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| Breakdown Time (i.e. 5:30-6pm) |
7:00 - 7:30
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Second Choice - Single Date
| If your first choice date is not available, do you have a second choice? |
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Second Preference: One Date
| Date |
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| Total Time (i.e. 2-6pm) |
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| Set-up Time (i.e. 2-3pm) |
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| Total Event Time (i.e. 3-5:30pm) |
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| Breakdown Time (i.e. 5:30-6pm) |
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| Facility |
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First Review by Recreation and Cultural Affairs
Decide which School should review this application:
| Should Browne Principal review? |
No Browne Principal review necessary.
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| Should Wright Principal review? |
No, no Wright Principal review needed.
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| Should Clark Ave Principal review? |
Yes, Clark Ave Principal review needed.
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