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Facilities Usage Form


**Application must be submitted one (1) week prior to usage date**
Upon completion of this form, someone will be in contact with you within 48 hours. 
If you have any questions, please contact the Central Office at 812-825-5722.


Gymnasium - $75 per hour or $300 per day

MPR - $20 for the first hour, $10 each hour thereafter

***Custodial fee may apply depending on the nature of the event.***

Make checks payable to Eastern Greene Schools.  Payment is due when you are notified if this request has been approved.

Organization Namerequired
Contact Personrequired
First Name
Last Name
Phone Numberrequired
Purpose of Meetingrequired
Requested Daterequired
Must contain a date in M/D/YYYY format
Today's Daterequired
Must contain a date in M/D/YYYY format
Arrival Time (including set-up)required
Event Timerequired
Departure Timerequired
Facilities/Equipment Requestedrequired
Please specify, with detail, what area you are requesting and what equipment you will need, if any.required