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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.

Contact Personrequired
First Name
Last Name
Must contain a date in M/D/YYYY format
Must contain a date in M/D/YYYY format
Facilities/Equipment Requestedrequired