Balmorhea ISD

Please fill out this form and submit to Mr. Laramore

Please Fill Out The Facility Use Form Below

Date of Event

Opening Time

Closing Time

Name of Sponsoring Group/Organization

Proposed Activity

Name of person filing request

Fill in information

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Cell#

Wk#

Note:

Items Requested from kitchen (inital who requested)

I agree to abide by the requirements of Balmorhea Independent School District in regard to the use of the school facilities. The organization I represent will comply with all policies regarding the use of school facilities. My signature below indicates that I have read the guidelines attached and agree to abide by them.

Signature:

Date:

Principal Signature:

Date:

Cafeteria Employee:

Date:

For Principal only: Approval

Date:

Cash:

Check#:

Received by:

Email a copy to

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