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Get PA CBSD Facility Use Request Form 2019

Nd return to the building you are requesting to use. Faxed applications will NOT be accepted. Signing this form certifies that you have read the regulations on the opposite side and agree to abide by all school district rules. You do NOT have final approval for facility use until you receive a copy of this form signed by both the school and the FEMO Department and have submitted a proper Insurance Certificate. CANCELLATIONS MUST BE RECEIVED VIA E-MAIL (lisernia cbsd.org) 48 hours in advance. SC.

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