PTIC Event and Budget Request
Event Name
*
Event Date(s)
Event Location (Select All That Apply)
*
Roxborough Primary
Roxborough Intermediate
Other (Please Specify)
EVENT Start Time (This will be used for the official calendars)
*
Minutes
AM
PM
AM/PM Option
EVENT End Time (This will be used for the official calendars)
*
Minutes
AM
PM
AM/PM Option
Set Up Start Time
Minutes
AM
PM
AM/PM Option
Clean Up End Time
Minutes
AM
PM
AM/PM Option
If you have different start/end times for different days, please use this field:
Grades/Classes Involved
*
Primary Classes (K-2nd)
Intermediate Classes (3rd-6th)
Community Event (All Ages)
Other
Will food be served at this event?
*
Yes
No
Equipment Needed
*
Chairs
Stage
Risers
Tables
Cones
None
Other (Use Field Below)
Number of Chairs
*
Estimate Acceptable (i.e. 0-200)
Number of Risers
*
Number of Tables
*
Number of Cones
*
Estimate Acceptable
Other Special Equipment Requested:
Do you need budget for this event?
*
Yes
No
Budget Requested ($)
*
Predicted Line Items to be Purchased w/ Budget (List Items and Dollar Amount)
*
Other Information You'd Like to Share:
Committee Chair or Contact Name (For Questions, Approval, etc.)
Name
Committee Chair or Contact Email (For Questions, Approval, etc.)
*
example@example.com
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