Bishop Kelly High School Activity Application

Primary Contact Name:*

First Last

Primary Contact Email:*

Enter Email Confirm Email

Primary Contact Phone:*

Name of Club or Organization:*

Advisor or Coach:*

Type of Event:*

Assembly
Dance
Trip
Special Event

Assembly Information

Date of Assembly:

Time of Assembly:

Regular Assembly Schedule – 2:20 to 3:06
This assembly needs to take place at the following time...

: HH

MM

Please give a brief description of the type of assembly you are planning, including room setup and decorations. (Will you be using a stage or podium, etc.)

Where will the assembly be held?

Carley Center (all school)
Cafeteria
The Reg

Dance Information

Date of Dance:

Start Time of Dance:

: HH

MM

End Time of Dance:

: HH

MM

Type of Dance:

Location:

Carley Center
Cafeteria
The Reg

How will music be provided?

Professional DJ
Live Band

Please give a brief description of the dance, including theme & decorations:

Set up date and time:

: HH

MM

Clean up date and time:

: HH

MM

Trip Information

Departure Date of Trip:

Return Date of Trip:

Type of Trip:

Destination:

Please give a brief description of this trip:

How will transportation be provided?

School Bus
Van

Departure Time:

: HH

MM

Estimated Destination Arrival Time:

: HH

MM

Boise Arrival Time:

: HH

MM

Number of students participating:

Special Event Information

Date of Special Event:

Start Time of Special Event:

: HH

MM

End Time of Special Event:

: HH

MM

Location of Special Event:

Please give a brief description of this special event:

Please list chaperones:

SPAM Prevention