[Type text] Organization Name: Students Today Leaders Forever (STLF) Contact person planning arrangements: Email address: Phone: Contact person who will be on site with the group: Email address: Phone: Group Information: School/Program Name: *Please Check Group: Middle School High School College Number of people in group: *If college program please edit the age range male chaperones female chaperones male STLF Leaders (age 18-29) female STLF Leaders (age 18-29) male STLF participants (age 12-17) female STLF participants (age 12-17) We will update you at least 7 days prior to arrival if this information changes. Date of Arrival and approximate time: Date of Departure and approximate time: We do not need accommodations for parking. We will arrive in a charter bus and will book a local hotel for our driver. Facility Staff Only: Please check the item(s) the facility can provide for the group: Separate Rooms for Sleeping *Everyone will use sleeping bags Open Space for Team-building Activities Kitchen Showers *Please circle: 1 shower or multiple Donated Meal or Snacks Students Today Leaders Forever 609 S 10th Street, Suite 103, Minneapolis, MN 55404 www.stlf.net • [email protected] [Type text] Values we follow when staying in a donated space: 1. For Middle School and High School Programs: We will have college leaders and school/program chaperones with the students at all times to ensure their safety and best behavior throughout the duration of our stay. 2. Our group is responsible to clean up your area after use. We believe in leaving the place better than we found it. (Take out garbage, sweep, mop, pick up, turn off lights, etc.) 4. We have a very strict zero tolerance policy with alcohol or drugs regardless of age so there will no such use on or around facility property. 5. We understand that we may be sharing the facility and will keep the noise to a minimum and will not have music/loud games/etc. past 11pm. 6. Our group will stay in the areas we are shown and authorized to be in. In case of cancellation, we will give minimum of one week notice. DATE: ______ Signature of Person Requesting Facility Use: _____________________________ Thank you for your time and consideration for allowing our group to use your space. We appreciate your hospitality towards STLF and our students. We will follow up with this request in one week if we don’t hear back sooner. If this needs to be approved by a council or attending supervisor, please let us know via email of the person making the request. If we are approved to stay, please send back the form with the following information: Contact Information: Person Coordinating Arrangements for the *If different than first column Group: Person Meeting the Group: Title: Contact Name: Cell Phone: Title: Work Phone: Cell Phone: Email: Work Phone: Email: *If no one is meeting the group please write out key code or instructions to find and return a key, and special requests for building use: Students Today Leaders Forever 609 S 10th Street, Suite 103, Minneapolis, MN 55404 www.stlf.net • [email protected]
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