Activity / Event Request
GENERAL INFORMATION
*
Today's Date
*
Start Date
*
End Date
*
Group Submitting Request
*
Name of Activity / Event
*
Activity / Event Location
*
Attendance
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41+
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Person Submitting Request
*
Home Phone
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Cell Phone
*
Email
Bulletin Announcement?
Yes
No
*
Will your event be ON-SITE or OFF-SITE?
On-Site
Off-Site
Special Instructions for Bulletin Announcement:
(
office personnel reserve the right to word announcement for best fit
)
*
Activity / Event Start Time
*
Activity / Event End Time
*
Indicates Response Required
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