Gamble Rogers Middle School Facilities Request Form
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1.
Your Full Name
*
2.
Your Email Address
*
3.
Club / Group Name
*
4.
Type of activity
*
5.
Number of people anticipated
*
6.
Date(s) facility needed
*
7.
Beginning time
*
8.
End time
*
9.
Facility Requested
*
Select one
Cafeteria
Media Center Conference Room
Gym Sports Areas
Auditorium
Guidance Office
Principal's Conference Room
Classroom
10.
Will this be a school sponsored event?
*
Yes
No
Furniture or equipment needed
11.
Will you need a microphone?
*
Yes
No
12.
Will you need a Podium?
*
Yes
No
13.
Will you need media equipment (i.e. PC projector)?
*
Yes
No
14.
How many tables will be needed?
--None--
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15.
How many chairs will be needed?
--None--
None
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over 50