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Bloomfield Hills Schools Facility Request Form

First Name * Please enter your First Name

Last Name * Please enter your Last Name

E-mail * Please enter email address/username

Phone Please enter your phone

Event Name * Please enter your Event Name

Event Description * Please enter your Event Name

Is this Event Offsite/Virtual?

OffsiteLocation

Virtual Meeting Link

Event Date *

Begin Setup

Start Time *

End Time *

End Teardown

Event Recurrence Rules

Recurrence

Recurrence Rules

Every days(s) *

Every Weekday

Recur Every week(s) on:

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Recur every month(s) on:

Day

The

Recur every years(s)

Recurrence dates:

End Event after occurrences.

End After Date

Location(s) * Bloomfield Hills High School Bloomin' Conant Bloomin East Preschool Bloomin' Lone Pine Booth Center Bowers Farm & Academy Conant Elementary School Eastover Elementary School Former Lone Pine Elementary School Fox Hills International Academy Lone Pine Elementary School Nature Center North Hills Middle School South Hills Middle School Way Elementary School Wing Lake

Public?

Public Notes

Public Link

Number of People

Organization Type *

Intra-School Org.

School Department

Community Group

Rental

Private Individual

Requesting Organization Name *

Requesting Organization Address *

Address *

Contact (person 18 or over who will be present and responsible for this event) *

Purpose of Function *

Will admission/donation be levied? *

Yes

If admission/donation will be levied, how much will you charge?

For what purpose is the money to be used?

Additional notes you wish to share?

I agree to the terms and conditions of facility use within Bloomfield Hills Schools. (Terms and conditions found: www.bloomfield.org/facilityuseterms) *

I agree to the terms and conditions.

I understand that there may be a fee for the use of the facility. (See Board Regulation 1302.4 for fee schedule: https://z2policy.ctspublish.com/luskalbertson/browse/bloomfieldhillsset/welcome/root) *

I understand and agree to fee schedule.

Real Person Verification

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