Use of Facilities Form

Request for Use of Facility / Grounds
Activity Information Location:

Activity Type:

Who will be using the space:

Start Date:

End Date:

Start Time:

End Time:

Additional Details on the Dates and Times (i.e. every monday, every other wednesday etc)

Activity Supervisor:

Activity Supervisor Phone:

Activity Supervisor Email:

Area(s) of Facility Required

Details for Area(s) Required

Equipment Required
Booking Contact Group Name:

Full Name:

Primary Phone:

E-mail Address:


Preferred Method of Contact:
Terms and Conditions I have read and agree to all terms, conditions and associated fees as per the OS-G-09 Use of School Facilities Policy.

Security Measure
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