NSCS Grayfox (TWR-825)
Port Huron, MI
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SPECIAL EVENT REQUEST FORM
Special event request forms need to be submitted to the NSCS Grayfox TWR 825 Public Affairs Office at least 30 days prior to proposed date. Please submit only one request at a time. Please allow one-two weeks for processing.
1. * Description of Event:
2. Arrival Date:
Arrival Time:
0800
0900
1000
1100
1200
1300
1400
1500
1600
1700
3. Departure Date:
Departure Time:
0800
0900
1000
1100
1200
1300
1400
1500
1600
1700
4. Duration of Event:
Days
5. Requested location(s) for event:
6. * Requestor Name:
(Requestor will serve as POC throughout duration of visit and must be present during visit.)
Requestor's Mailing Address
Street:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IA
IL
IN
KS
KY
LA
MA
ME
MD
MI
MN
MO
MS
MT
NE
NH
NJ
NM
NY
NV
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code:
Phone 1:
Phone 2:
* E-mail:
7. Sponsor Information
(If different from Requestor)
Sponsor's Name & Rank:
Sponsor's Mailing Address:
Street:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IA
IL
IN
KS
KY
LA
MA
ME
MD
MI
MN
MO
MS
MT
NE
NH
NJ
NM
NY
NV
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code:
Phone 1:
Phone 2:
E-mail:
8. Facilities to be used:
**If Galley support is requested, please list approximate dates and times.**
9. Total number of guests:
Note: Minors require 1 adult chaperones for every 10 minors.
This requirement is gender-specific when requesting lodging on an NBC facility.
Approximate number of MALE CHAPERONES:
Approximate number of MALE MINORS:
Approximate number of FEMALE CHAPERONES:
Approximate number of FEMALE MINORS:
Please submit list of names with this form. Names can be changed at a later date.
14. List Transportation Information
15. Please enter, or
send separately by email
, the proposed itinerary for the event:
Read And Click The Three Checkboxes Below
I have read and fully understand that my visit to NSCS Grayfox TWR 825 will be canceled with short notice due to necessity.
I understand that if I do not provide a guest list with Hold Harmless Agreement with this form that my request will NOT be processed.
I understand that if I DO NOT submit this form at LEAST 30 DAYS PRIOR to the scheduled event my request WILL NOT BE PROCESSED.
* * FOR YOUTH GROUPS, JROTC GROUPS ONLY * *
Please note that all themed tours have to be coordinated through
Grayfox Support Coordinator