BCPS Facilities Request Form

Please use this form to reserve facilities for events and activities. It is very important to be very clear about the date AND time of your event or activity so that the space can be properly reserved and prepared.

If you have any questions, please contact the administrator of the building you are requesting space in.

BCPS FACILITY REQUEST FORM:

Auburn Elementary

Today's Date :

Contact Information

Contact Person :

Name of the person requesting use.

BCPS Employee? :

Yes No

If NO, Organization:

Contact Phone :

Contact Email :

Facility Reservation

Room or Space :

Ex: Auditorium, gym, classroom #, etc.

Total Persons :

Maximum amount of people you expect to attend.

Activity or Use :

Admission Charged? :

Yes No

Reservation Date :

Start Time* :

(IMPORTANT!: Please be clear about times) Ex: 7:15 PM

End Time* :

(IMPORTANT!: Make sure you include AM/PM ) Ex: 7:15 PM

Equipment Request

	Enter numbers required or yes/no.
Chairs :		Tables :
P.A. System :	Yes No	Trash Bins :
Podium :	Yes No	Other :
Computer & Video Projector :	Yes No	Other :

Facility Assistance

Custodian :	Yes No
HVAC :	Yes No	Automated after normal school business schedule.
Lighting :	Yes No	Automated after normal school business schedule.
Tech Crew :	Yes No	Required for Auditorium programs.
Other :

Additional Comments and/or Requests

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