Durham Nockamixon - School Sponsored Event

Durham Nockamixon Elementary - School Sponsored Event
 
Application for use of the Durham Nockamixon School for a School Sponsored Event Classification A & B.
 

Email Address:* 

Date of Application:* 

Name of Person Responsible:* 

Event Type:* 

Name of Group:* 

Date(s) of Event:* 

Specific Room/Area Requested:* 

Equipment Request: Please detail below the type, quantity and location of all equipment requested for your event. (i.e. 2 tables, 6 chairs set up in lobby) If no equipment is requested, type "none". *

Set Up Time for Event:* 

Event Time:* 

Breakdown Time for Event:* 


Responsible Person's Information:


Name:* 

Phone/Ext.:*  

Email Address:* 



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