Carrollton-Farmers Branch Independent School District

FACILITY USAGE REQUEST FORM

(Headquarters must be located within the boundaries of the Carrollton-Farmers Branch Independent School District.)

         Please forward requests to:

         Meghan Trevino

         CFBISD Facility Usage

                                                        P.O. Box 115186

                                                        Carrollton, Texas  75011-0611

                                                        Phone:  972-968-6422 Fax:  972-968-6430

NAME OF SCHOOL:       ___________________________                __

FACILITY REQUESTED:                     Auditorium

          Gym

          Cafeteria

             Other (Please specify)                                                                                   

Special Set-Up:                                                 

ORGANIZATION:         Name:                                      

  Address:                                                     City                                         Zip                           

Phone Number:  ____ __                                   

CATEGORY:                        Class A - Related School Sponsored Clubs and Organization

         Class B - Non-Profit Groups or Organizations

         Class C - Organizations or Businesses without Non-Profit Tax Status

____ Class D - Cost Recovery Fees

CONTACT PERSON:  Name:     _                                            ___________ 

 Address:                                                City                                Zip_                

Phone:  (Wk)                                       (Hm)                                           (Fax) ___________________

 Title:     ______________                                                                                       

FUNCTION/ACTIVITY:  Purpose:  ____                                          _____                             

 Date(s):                                                               Alternate Date: ______________________

Time:                      Start                            Finish    Estimated Attendance:  ____                               

             *********************************************************************************************************************************

I HAVE READ THE BUILDING USE PROCEDURES AND AGREE TO ABIDE BY THEM.

SIGNATURE:                                                                         DATE:                             

*Facility Usage – this has been through this office a meets district guidelines for use*

SIGNATURE ______________________                    DATE:  ______________

ADMINISTRATOR’S APPROVAL/NON-APPROVAL

Request approved______________                 Request NOT approved_____________

Comments__________________________________________________________________________________

Administrator’s Signature_________________________________________            Date_____________________