Person Requesting Facility (Last,First)required

Organization

Phone Numberrequired

Alternate Phone Number

Email Address

Mailing Address

For non-school district organizations

Event Descriptionrequired

Event Beginning Date (mm/dd/yyyy)

Additional Dates

(If more than one day)

Pre-Event Setup Time

If applicable (e.g. 5:30-6:00pm)

Start and End Timerequired

(e.g. 6:00pm - 8:30pm)

Post-Event Cleanup

If applicable (e.g. 8:30 - 9:00pm) Please note that post-event custodial cleaning and/or security fees may apply.

Please note that post-event custodial cleaning and/or security fees may apply.

Approximate Number of People at Event

Other Information

When applicable the NVHS facilities scheduler will contact those requesting facilities by phone or e-mail regarding rental fees, custodial clean-up and security fees, and Facilities Use Contract.