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Get Facility Request Form - Shelby County Schools - Scsk12

SIBLE NAME PHONE ADDRESS DATE CITY STATE ZIPCODE EMAIL ADDRESS: ONLY COMPLETE IF EVENT IS NON-SCHOOL RELATED ACTIVITY The following must be placed on file in the Office of Facility Planning before issuance of permit: 1) A copy of proof of liability insurance (minimum $1,000,000.00) 2) A security plan/proof that arrangements for security services have been made (if applicable) APPLICANT SIGNATURE Sound System SCHOOL REQUES.

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