Alden-Conger Public School District

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Facilities Use Request

Facilities Use Request

Please complete the form below. Required fields marked with an asterisk *

Name of Group or Individual Requesting Use*

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*

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Group

Individual

Address

Street Address*

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City*

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State*

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Zip/Postal*

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Contact Person

First Name*

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Last Name*

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Email 1*

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Mobile Phone*

Number Required

Work Phone

Number Required

Adult Supervisor (if contact person is under the age of 18)

First Name

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Last Name

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Email 1

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Mobile Phone

Number Required

Work Phone

Number Required

Event

Name/Description of Event*

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Date or Dates of Event*

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Beginning Time*

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Approximate Ending Time*

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Space(s) Requested*

Select All That Apply

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Knights Gym

Blackhawk Gym

Carlson Gym

Media Center

Commons

Classroom

High School Conference Room

Carlson Conference Room

Stage

Football Field

Neil Pierce Baseball Field

Junior High Baseball/Softball Field

Football Practice Field

Kitchen

Other:

Equipment Needed

Additional Fees May Apply

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Performance Lighting

Sound System

Risers

Bleachers

Podium

Screen

Projector

Volleyball Net(s)

Other:

Folding Chairs?

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Folding Tables?

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Notes on Chairs & Tables

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You may upload a diagram with set-up instructions, if necessary.

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Choose a file or drag it here.

What entrance(s) would you like to use?

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Unlock at:

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Lock at:

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Confirmation Email

Confirmation Email *

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Alden-Conger Public School District 215 N Broadway Ave, PO Box 99, Alden, MN 56009 PH: (507) 874-3240 FX: (507) 874-2747

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