Facility Request Form 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:*AssemblyDanceTripSpecial EventAssembly InformationDate of Assembly: Date Format: MM slash DD slash YYYY Time of Assembly:Regular Assembly Schedule – 2:20 to 3:06This assembly needs to take place at the following time... : HH MM AM PM 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)CafeteriaThe RegDance InformationDate of Dance: Date Format: MM slash DD slash YYYY Start Time of Dance: : HH MM AM PM End Time of Dance: : HH MM AM PM Type of Dance:Location:Carley CenterCafeteriaThe RegHow will music be provided?Professional DJLive BandPlease give a brief description of the dance, including theme & decorations:Set up date and time: Date Format: MM slash DD slash YYYY : HH MM AM PM Clean up date and time: Date Format: MM slash DD slash YYYY : HH MM AM PM Trip InformationDeparture Date of Trip: Date Format: MM slash DD slash YYYY Return Date of Trip: Date Format: MM slash DD slash YYYY Type of Trip:Destination:Please give a brief description of this trip:How will transportation be provided?School BusVanDeparture Time: : HH MM AM PM Estimated Destination Arrival Time: : HH MM AM PM Boise Arrival Time: : HH MM AM PM Number of students participating:Special Event InformationDate of Special Event: Date Format: MM slash DD slash YYYY Start Time of Special Event: : HH MM AM PM End Time of Special Event: : HH MM AM PM Location of Special Event:Please give a brief description of this special event:Please list chaperones:SPAM Prevention