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Get Loudoun County School Board Application for Community Use of School Facilities and Grounds by All Non-School Users 2016-2024

Tly to School/Facility Requested for Use) The Undersigned hereby makes application on behalf of: If Other please provide: _________________________ (If Other Please Fill in Full Name of Organization - DO NOT ABBREVIATE) for special use of: School, for (Name of School) (List Type of Activity) on: From: (Day of Week) (Hours of Use) (Month / Day / Year) Number of Persons to Attend: (AM/PM) (Hours of Use) (AM/PM) Number of hours facility will be used (include set-up/take-down): Space R.

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