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Reserve Activity Room
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* Indicates required question
Your Name
*
Enter your complete name
Your answer
Your contact information.
*
Enter your most reliable means of communication. Ex: "Cell: XXXXXX" or "Email: XXXXX"
Your answer
Lead Teacher
If you are filling this out for someone else, please enter the teacher's name.
Your answer
Class Name(s)
*
Ex: 5/6 international or 9B
Your answer
What day(s) do you need the room?
*
Select all that apply
Monday
Tuesday
Wednesday
Thursday
Friday
Required
What time(s) do you need the room?
*
Check all that apply
8:15-9:15
9:15-10:30
10:30-11:15
11:15-12:00
12:00-1:00
1:00-2:00
2:00-3:00
3:00-4:00
4:00-5:00
Other:
Required
How often do you need this/these time(s)?
*
Select the frequency that you need this/these time(s).
Just once.
Every week
Every other week
Every three weeks
Other:
How urgent is it that you have this/these exact time(s)?
*
It's not really important, there are many other times we can do this.
1
2
3
4
5
6
7
8
9
10
If I don't have this time, someone will die a cold, mysterious death. Don't tempt me.
If the time(s) you requested is/are not available, what are your alternatives?
*
Your answer
Anything else I should know?
Your answer
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