RRHS Facility Request

This form will email your request to Kelly McPherson

Your Name Your Name First Last
Phone Number (Cell Phone or best contact number)
E-mail Address
Describe Event. Please include as many details as possible
Date of Event Date of Event / MM / DD YYYY
Is this event on a weekend or non-school day?

Is this event on a weekend or non-school day? Yes No
School, Dept, or Organization hosting event:
Contact information for person running the event (name, phone, email, etc...)
Time arriving for Set-up Time arriving for Set-up : HH MM AM/PM
Event Start time Event Start time : HH MM AM/PM
Event End Time Event End Time : HH MM AM/PM
Approximate Number Attending Event
Locations needed for event

Locations needed for event Gym High School Media Cafeteria Kitchen (must HIRE FNS staff for event) Stadium Black Box Other Other
Number of Custodians for setup, break down, and clean up
Setup Needs (please email diagram to kmcphers@pasco.k12.fl.us)

Setup Needs (please email diagram to kmcphers@pasco.k12.fl.us) Table Chairs Podium Microphone LCD Projector Speakers for Computer Stage (Black Box Only) Stage Lights (Black Box Only) Stage Sound (Black Box Only) None of the above Other Other
Will food be served to the attendees?

Will food be served to the attendees? Yes No
For events after school hours or weekends, please check if you need the following

For events after school hours or weekends, please check if you need the following Air Conditioning Exterior Lights N/A
Number of Days the Event will last