Public Schools Facilities Use 2024-2025

DIRECTOR/PRESIDENT/GROUP LEADER

Organization Name	---
Organization Type	Non Profit (501c3)
Contact Person	---
Address	---
Cell Phone	---
Email Address	---
Additional contact person	---
Cell phone number of additional person	---

EVENT INFORMATION

Event/Activity Name	---
Primary Participants	Youth , Adults
Total Estimated Number of Participants	150
Leader's Name	---
Leader's Phone Number	+16177269613
Brief Description of Event (please be as thorough as possible)	---
School	---
Space needed	---
Do you require equipment or setup?	---
Please specify what equipment you need/set-up	---

First Preference For Event Date/Time

Is this event happening on one date or multiple dates?

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First preference: Single Date

Date	2025-05-01
Day of the week	Thursday
Total Time requested (ex. 4:00pm-7:30pm)	---
Set-up Time (ex. 4:00pm-5:00pm)	---
Event Time (ex. 5:00pm-7:00pm)	---
Breakdown Time (ex. 7:00pm-7:30pm)	7:00pm-7:30pm

Second Preference?

If your first choice date is not available, do you have a second choice?

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Additional Questions

Will food be served?

Yes

Please explain, what kind of food, how will it stored, will it be homecooked or store bought, etc.

Families will be offered dinner for attending the fair. Food will be purchased from local vendors and will be delivered to the front of the school prior to the start of the event. Food will be served upon arrival therefore no additional equipment is needed for storage of the food. The type of food is TBD, although will likely involve "handhelds" such as pizza, pupusas, apples, oranges and cookies.

Food Waiver

Name of Director/President/Group Leader:	---
Date	2024-11-13
I understand that I am completing a binding electronic signature when I submit this form constitutes a legal signature.	Yes

Indemnification/Hold Harmless

Name of Director/President/Group Leader:	---
Date	2024-11-13
I understand that I am completing a binding electronic signature when I submit this form constitutes a legal signature.	---

Rules and Regulations

Name of Director/President/Group Leader:	---
Date	2024-11-13
I understand that I am completing a binding electronic signature when I submit this form constitutes a legal signature.	Yes