Facility Use Request Mat-Su Family Support Center
  • Facility Use Request Form

    Facility Use Request Form

    Beacon Hill strives to respond within 24 hours to requests but we recommend 3-business days advance to ensure adequate time to respond.
  • What are you requesting to use the Family Support Center for?*

  • Tidy Team Request Form

  • Format: (000) 000-0000.
  • Date
     - -
  • Until

  • Event Request Form

  • Format: (000) 000-0000.
  • Date
     - -
  • Until

  • Family Contact Request Form

  • All Family Contact must be supervised by a responsible party approved by the Office of Children's Services caseworker. A Family Contact supervising party could be a professional Family Contact Facilitator working for an agency, an approved Relative, Foster Parent or Community Volunteer. Once approved by the caseworker, this request form should be filled out preferably by, but can be on behalf of, the person responsible for supervising the Family Contact.

  • Family Time Supporter / Family Contact Facilitator

  • Format: (000) 000-0000.

  • Office of Children's Services Caseworker

    Caseworker pre-approval is required for requesting use of the facility.
  • Format: (000) 000-0000.
  • This OCS Caseworker has approved the Facilitator/Supporter listed above to supervise family contact for this family.

  • Request Scheduling Details

    Dates and times requested are subject to availability and requests are not secured until a confirmation email is received.
  • Would you like to request regularly repeating visits?*
  • Reoccurring Start Date Request
     - -
  • Reoccurring Day requested
  • Until
  • One-Time Facility Use Date Request
     - -
  • Until

  • Family Demographic Information

    Adults participating in Family Contact:

  • Children participating in Family Contact:

  • By submitting this facility request form, I agree that all information provided is accurate to the best of my knowledge and that the OCS Caseworker has approved the requested family contact and Family Contact Facilitator / Family Time Supporter. 

  • Should be Empty: