Facilities Acquistion Form

Please make sure to complete both the online form as well as the "Facilities Agreement" that is attached below. For your convenience the "Facilites Agreement" can either be printed and returned in person, or electronically signed and returned via email.

Facilities Agreement

Name of Group
Leader
Phone Number
email
Number of attendees:
Is this a private group?

no

yes
Day of the week you'd like to use the facilities:
Time:
Alternative day you could meet:
Time:
Start Date:
End Date:
Description of the plan, purposes, and goals of your group:

255 Characters left
Materials required by attendees:
Is this a gender based group?
Additional needs:

Microphones

Music

Powerpoint

Graphics

Chairs

Tables

Add a new option to those above
Additional needs details: (i.e. # of chairs, tables, etc.)