Use of Facilities - Rental Application - PONTIAC SCHOOL

Please complete the form below. Required fields marked with an asterisk *

Name of Organization:*

Answer required for "Name of Organization:"

Mailing Address:*

Answer required for "Mailing Address:"

Contact Person:*

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Contact Person Phone Number:*

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Contact Person Email Address:*

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Date of Application:*

Answer required for "Date of Application:"

Booking Start Date:*

Answer required for "Booking Start Date:"

Booking End Date:*

Answer required for "Booking End Date:"

Booking Start Time:*

Answer required for "Booking Start Time:"

Booking End Time:*

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Reason for Booking:*

Answer required for "Reason for Booking:"

Estimated # of people attending:*

Answer required for "Estimated # of people attending:"

Wiikwemkoong Pontiac School*

Answer required for "Wiikwemkoong Pontiac School"

Pontiac School Gym

Include: Kitchen

Include: PA System

Classroom(s)

How many chairs do you need?*

Answer required for "How many chairs do you need?"

How many tables do you need?*

Answer required for "How many tables do you need?"

Extras:*

Answer required for "Extras:"

Volleyball Nets

Badminton Nets

Basketball Nets

Floor Mats

Wifi Access

Other:

I acknowledge and agree to clean up and leave the kitchen (if used) in a clean and orderly condition.*

Answer required for "I acknowledge and agree to clean up and leave the kitchen (if used) in a clean and orderly condition."

Yes

I acknowledge and agree to complete all necessary set up required for my scheduled activities.*

Answer required for "I acknowledge and agree to complete all necessary set up required for my scheduled activities."

Yes

Please fix the highlighted areas below before submitting.

Use of Facilities - Rental Application - PONTIAC SCHOOL