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JCC Facility Use Request

JCC Facility Use Request
*Name of Group or Event:
*Purpose of Event 
*Building Requested:
*Room Requested:
*Dates Requested:
*Contact Person:
*Day Phone Number:
 Night Phone Number:
 Fax Number:
 Mailing address:
 City:
 Zip Code:

 E-Mail Address:

 (the best and quickest way

 to get your response and estimate)

 Time building is to be open:
*Activity begins at:
*Activity ends at:
*Supervisor in charge:
Approximate Number Attending:
Admission Type:Free  Donation Admission Community Ed
Equipment Needed:
Other Equipment:
Chairs Needed:
Tables Needed:

Any community (non-JCC school) groups or organizations MUST submit a certificate of insurance for liabilitypurposes to complete this facility use request.  Please mail or scan and email the certificate within a week of this request.

Signature:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



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