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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| Brief Description of Event |
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| Facility (please select all that apply) |
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| If you selected classroom(s) above, how many will you need? |
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| Total Estimated Number of Participants |
20
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| Do you require special equipment or setup? |
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| Please specify |
Coumo board for presentations if needed.
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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: Two or More Dates - Times
| Dates (i.e. Every Sunday starting June 1 until September 1) |
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| Times needed (i.e. 3-4:30pm) |
5-6:30pm
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Second Choice Interest: Two or More Dates
| If your first choice dates are not available, do you have a second choice? |
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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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