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UNION PUBLIC SCHOOLS APPLICATION FOR USE …

UNION PUBLIC SCHOOLS APPLICATION FOR USE OF school facilities Attention: facilities Coordinator 6836 S. Mingo Rd. Tulsa, OK 74133 Email: Office phone: 918/357-7481 FORM MUST BE COMPLETELY FILLED OUT OR WILL BE RETURNED UNAPPROVED ALL REQUESTS ARE TENTATIVE UNTIL REVIEWED AND APPROVED BY THE DISTRICT facilities COMMITTEE AND OFFICIAL CONFIRMATION IS SENT OUT ORGANIZATION MAKING REQUEST: _____ EVENT: _____ DATE(S) (attach an additional sheet of dates if necessary):_____ 20_____ BUILDING REQUESTED: _____ ROOM(S) / AREA(S) REQUESTED: _____ TIMES:oSet up time: _____ am / pm TO _____ am / pmDoors open time: _____ am / pm oEvent time: _____ am / pm TO _____ am / pmClean up time: _____ am / pm TO _____ am / pm SET-UP NEEDS (attach an additional sheet for more specific instructions if necessary)oTables (quantity and location): _____ Chairs (quantity and location): _____oTechnical needs (microphones, audio/visual, etc): _____oPodium: yes no Other needs and / or requests: _____GENERAL INFORMATION CONTACToName.

UNION PUBLIC SCHOOLS APPLICATION FOR USE OF SCHOOL FACILITIES Attention: Facilities Coordinator 6836 S. Mingo Rd. Tulsa, OK 74133 Email: rose.whitney@unionps.org

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