Customer Support Center
Poudre School District
2445 LaPorte Avenue
Fort Collins, CO 80521
Phone: (970) 490-3333 | Fax: (970) 490-3110
csc@psdschools.org
Customer Support Center
Updated: 3/26/2019
FACILITY USE REQUEST FORM – IN-DISTRICT
O
UT
DOOR FACILITY USE
Fill out the following information and submit request to the Customer Support Center. Submission of request does not guarantee
approval; reservation will not be confirmed until the Facility Use Permit and Acknowledgement of Receipt is received. Please allow
10 business days for processing. See di
st
rict policy KF – Use of District Facilities,
Facility Use Guidelines (Community), and P
e
rsonnel Fees for additional details.
Date: _________________________
Requester Name: _________________________________Email Address: __________________________________
Location/Department:
______________________________
__________Phone: ______________________________
Event Description: _______________________________________________________________________________
Equipment and Service Needs:
Port-o-Lets (Quantity) ___________________________________________
Required for events over 3 hours, events larger than 50 people, or by request
Trash Dumpster _______________________________________
Budget Code_______________________________________________________________________________
Required for applicable personnel (i.e. Custodial) fees only
First Choice of Location
Location: ______________________________________ Space(s) Requested: __________________________
Start T
ime: ____________End Time: _______________ __________________________
Date (if one day only) ___________________________ __________________________
Complete the following if request is for multiple dates: Other: __________________________
Start Date: ____________End Date: _______________
To Be Held: Weekly Bi-Weekly Monthly Other (List): _______________
Day(s) Held: Sunday Monday Tuesda
y Wednesday Thursday Friday Saturday
Submit Form
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[Select Space]
[Select Space]
Customer Support Center
Poudre School District
2445 LaPorte Avenue
Fort Collins, CO 80521
Phone: (970) 490-3333 | Fax: (970) 490-3110
csc@psdschools.org
Customer Support Center
Updated: 3
/26/2019
Second Choice of Location
Location: ______________________________________ Space(s) Requested: __________________________
Star
t T
i
me: ____________End Time: _______________ __________________________
Date (if one day only) ___________________________ __________________________
Complete the following if request is for multiple dates: Other: __________________________
Start Date: ____________End Date: _______________
To Be Held: Weekly Bi-Weekly Monthly Other (List): _______________
Day(s) Held: Sunday Monday Tuesda
y Wednesday Thursday Friday Saturday
Third Choice of Location (if applicable)
Location: ______________________________________ Space(s) Requested: __________________________
Start Time: ____________End Time: _______________ __________________________
Date (if one day only) ___________________________ __________________________
Complete the following if request is for multiple dates: Other: __________________________
Star
t Date
:
____________End Date: _______________
To Be Held: Weekly Bi-Weekly Monthly Other (List): _______________
Day(s) Held: Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Setup Instructions or Additional Information:
For outdoor events, please note the following:
Food, sunflower seeds, nuts or gum are not allowed on synthetic surfaces
Inline skates, skateboards, bicycles, or motorized vehicles are not permitted on any synthetic surface or turf field;
lawn chairs are not permitted on synthetic turf or running track surfaces
Unauthorized snow removal is prohibited on any synthetic surface or turf field
Glass containers are not allowed on any synthetic surface or turf field
Prior to securing tents or other structures with stakes, the user must notify Colorado 811 three business days prior
to the event so all underground utilities can be marked; tents or other structures are not allowed on synthetic
surfaces
[Select Space]
[Select Space]
[Select Space]
[Select Space]
[Select Space]
[Select Space]