Use of Building
Staff Use of Building Facilities
Staff Name:_____________________________ Date:________
Time In:________________ Time Out:________________
Area Requested:________________________________
Need it Opened? _____Yes _____No
Setup? _____Yes _____No
Custodian Needed? q Yes q No
If you request NO custodian help, your group is responsible for cleaning up the area.
You will be charged $30.00 per hour if a custodian has to clean up the area.
This includes the following:
Trash
Sweeping/Vacuuming
Tables/Chairs cleaned up
The room should be left the same way that you found it.
Number Attending: __________
Which Entrance:_________________________
Activity:________________________________________________________________