Poynette School District
Please enter the following information to become a Facility Requester
All fields are required unless otherwise noted.
First Name
Last Name
E-Mail Address
This is the primary way we will contact you.
Please make sure you enter an address where we can reach you.
Web site URL
(Optional)
Organization
Organization Verification
I confirm that I am authorized to make requests on behalf of the above organization.
Billing Address
City
State
Zip
You must provide one of the following phone numbers.
Daytime Phone
Evening Phone
Cell Phone
Age Verification
I confirm that I am 18 years or older.
You must be 18 or older to be a facility requester.
You will be contacted at the e-mail address provided when your request to become a Facility Requester has been reviewed.
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