Application For Use Of School Facilities For An Athletic Practice / Event
(Excludes High School Gym)
Date: _________________
Name of Sport/Team: ______________________________________________________________
Coach: __________________________
Assist. Coach: _____________________________
Day Time Phone: ________________________ Fax: _________________________________
Building / Room Requested: ________________________________________________________
Purpose of Use: ________________________________ Number of people to attend: __________
Date of Use:
Schedule Attached 
 Single Date(s): _________________________________________________________________
 Weekly: M T W TH F Sa S from _________________ through ___________________
(circle one or more)
(mm/dd/yy)
(mm/dd/yy)
Time of Use: from: __________ a.m. / p.m. to: __________ a.m. / p.m.
Banquets: Maintenance and/or kitchen needs / requests - BE SPECIFIC: # of tables need set up,
use of kitchen, items you’d like to use (kitchen utensils, microphone, etc.). Verbal requests will not be
acknowledged:
__________________________________________________________________
________________________________________________________________________________
___________________
_______________________
(Signature)
(Date)
RETURN COMPLETED FORM TO THE SCHOOL ADMINISTRATION OFFICE
_________________________________________________________________________________________________
ADMINISTRATIVE USE ONLY:
Date Received: _______________
Time Received: _______________
Entered on Calendar: _______________
Time: _______________
Key: _______
Alarm: ______
Notes: __________________________________________________________________________________