Maintenance Request Form
Please check with the administrator prior to submitting. Most issues can be solved by staff or administrators.
Person requesting the repair
*
First Name
Last Name
Which Campus is this for?
*
Please Select
Youth Center Campus
St. Clairsville Campus
Barnesville Campus
What area of the building needs repaired?
*
ie. playground, girls bathroom, window seal of infant room etc.
Is this repair causing as safety risk to the children or staff?
*
Please Select
Yes
No
Please explain the area and what you noticed that needs repaired. NOTE Please fill out a separate request for each item if there is more than one.
*
Take Photo of the item that needs to be repaired.
*
Save
Submit
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