Reservation Form
Contact Person
| Name/Last Name |
---
|
| Phone |
---
|
| Cell Phone |
---
|
| Email Address |
---
|
| School |
Clark Avenue Middle School
|
EVENT INFORMATION
| Event/Activity Name |
---
|
| Brief Description of Event |
---
|
| School Building |
---
|
| Facility |
---
|
| Do you require special equipment or setup? |
---
|
| Please specify |
Microphone, podium, speaker
|
Additional Questions
First Preference For Event Date
| Is this event happening on one date or multiple dates? |
---
|
First preference: Two or More Dates - Times
| Dates (i.e. Every Sunday starting June 1 until September 1) |
---
|
| Times needed (i.e. 3-4:30pm) |
2:30pm- 7:30pm
|
Second Choice Interest: Two or More Dates
| If your first choice dates are not available, do you have a second choice? |
---
|
Second Preference: Multiple Dates
| Dates (i.e. Every Sunday starting June 1 until September 1) |
---
|
| Times Needed (i.e. 3-4:30pm) |
2:30-7:30pm
|
| Facility (See link to park locations and descriptions above) |
---
|
First Review by Recreation and Cultural Affairs
Decide which School should review this application:
| Should Browne Principal review? |
No Browne Principal review necessary.
|
| Should Wright Principal review? |
No, no Wright Principal review needed.
|
| Should Clark Ave Principal review? |
Yes, Clark Ave Principal review needed.
|
