Today's Date (YYYY-MM-DD):

Name of Facility To Be Used (required):
Sheridan High SchoolFort Mackenzie High SchoolSheridan Junior High SchoolThe Wright Place Junior High SchoolHenry A. Coffeen ElementaryHighland Park ElementaryMeadowlark ElementarySagebrush ElementaryStory ElementaryWoodland Park ElementaryOther (please specify):

Name of Person or Organization Making Request (required):

Contact Phone Number (required):

Mailing Address (required):

Email Address (required):

Type of Organization:
NonprofitProfitPrivate FoundationPTOMunicipalityReligiousPerforming ArtsStudent OrganizationTeacher OrganizationOther (please specify):

Name of Responsible Person (Representative of Organization - must be 18 or over) (required):

Event Description (required):

Estimated Attendance (required):

Child Affiliated?
YesNo

If yes, please explain:

Event Start Date (YYYY-MM-DD):

Event Start Time (required):

Event End Date (YYYY-MM-DD):

Event End Time (required):

Space Requested/Rooms:
GymnasiumAuditoriumClassroomMulti-Purpose RoomPlaying FieldOther (please specify):

Equipment Requested:

Setup Requested:

Tear Down Requirements:

Insurance Information

Company Name (required):

Policy Number (required):

Coverage Dates (must include date you will be using the facility) (required):

Additional Information

Will there be any revenue generated from this event such as admission, team/player fees, donations, etc?
YesNo

What organization will benefit from the proceeds? (required)

I hereby acknowledge that I have read and agree to the Terms and Conditions of Use for SCSD#2 Facilities.

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