Pembina Trails School Division

APPLICATION FOR USE OF SCHOOL PREMISES
(All Permit application(s) must be submitted two weeks prior to the activity date requested)
Name of Organization:
Contact Person:
Address: Postal Code:

Home Phone: Business Phone:

E-mail: Fax:


Hereby applies for permission to use the following school, on the following dates:
School:
Commencing Date:
 YYYY-MM-DD
Terminating Date:
 YYYY-MM-DD

Start Time:


e.g.: 10:30 a.m.
End Time:
e.g.: 1 p.m.
Recurrance Options:
 
Type of Recurrence 

Day of the week Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Space required :
Expected Attendance:
The purpose of using the school is:
Please specify one - youth or adult group:
Additional Information:

SCHOOL USE ONLY:
School administration responsible to open/close school facility: