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Facilities Use Form
Facilities Use Form

EXTERNAL FACILITIES USE REQUEST
Reminder: Certificate of Insurance, $50 Security Deposit, Team Roster (if applicable) and Proof of Non-Profit Status (if applicable) must be submitted with application and received at least 10 working days prior to your event. May be sent via fax (856-223-8649), email (brownde@clearviewregional.edu), and checks should be mailed to Debbie Brown at (625 Breakneck Rd., Mullica Hill, NJ 08062).

Application will not be processed until all necessary information is received.


You will be contacted regarding availability and fees following receipt of required information.

Name of Organizaion:

Contact Name:

Contact E-Mail Address:

Mailing Address:

Contact Phone Number:

Activity/Event:

Date(s) requested:

Location(s) Requested:

Time Requested:

Actual Event Time:

Number of Participants:

Other Needs (i.e. tables, special set-up, a.v. equipment:

Comments/Notes:



Security Measure