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 |
+17813546373
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| Brief Description of Event (please be as thorough as possible) |
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| Total Estimated Number of Participants |
10
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| School |
Clark Avenue Middle School
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| Space Needed |
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| Do you require equipment or setup? |
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| Will food be served? |
No
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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
| Dates |
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| Days of the week |
Wednesday
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| Times |
3pm-6pm
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Second Preference?
| If your first choice date is not available, do you have a second choice? |
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Second Choice Information
| Days of the week |
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| Dates |
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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.
|
| 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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