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Submit Facility Permit Request
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Information
MT. LEBANON SCHOOL DISTRICT PERMIT REQUEST FORM
Today's Date
NOTICE: Use of premises is subject to all terms and conditions as stated on the submission page and on the application for Use of Facilities.
Additional Terms and Conditions
Organization
Organization Name
Contact Name
Address
Phone
Email Address
Purpose of Activity
Estimated Attendance
Each permit requestor, as the designated contact for this permit, must have their clearances on file at the building of usage,
in accordance with MTLSD guidelines
. It is the responsibility of each organization to ensure that their individuals are in compliance as renters of the space with direct services to students within their organization.
Building & Spaces
1) Select your building. 2) Use the plus button to add the total number of rooms you will need. 3) Click the display rooms blue button. 4) Select your rooms accordingly.
Building
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Foster
High School
Hoover
Howe
Jefferson Elementary
Jefferson Middle
Lincoln
Markham
Mellon
Washington
Room
High School Room
Description
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-
-
Display Rooms
Dates & Times
**YOU MUST USE 24-HR TIME FORMAT.**
1) Select your starting date & time. Then, select your ending date & time. Then, type in the day of the week of your event. 2) For recurring events / events over multiple days of the week: Use the plus button to add new day/time rows. To clone or delete a row, you need to select that row's checkbox on the left first before you complete that action.
Starting Date/Time
Ending Date/Time
Day(s)
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-
-
-
Weekdays (Mon-Fri)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Notes on Dates/Times
Setup
1) Consider your event and setup needs. Will you need any table/chairs, a microphone, additional trash cans, door access, technology, etc? 2) Use the plus button to add rows for each setup need. Select the category, and then type in your request. 3) If you have none, skip this field and leave it blank.
Facilities
Description
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-
Date of Issue