Please complete all fields and upload the requested documents (in PDF or JPG format) to create a new Facilities Schedules™ Software user account and related Group(s).
Please note that Moline Coal-Valley School District #40 requires your Group to have a valid insurance certificate on file. Please upload a valid insurance certificate before continuing.
District facilities are not available for rent during holidays when the district is closed and during school-year breaks when students are not in attendance.
Classification
- Please Select - District Group External Groups * Select your organization type. Selecting a classification will update the form below.
First Name
* Enter your first name
Last Name
* Enter your last name
Phone Number
E-mail Address
* * Enter your email address
Confirm E-mail Address
* * Re-enter your email address
Password
* Enter your password. Maximum 100 characters.
Confirm Password
* * Re-enter your password. Must match the password entered above.
If you are an internal staff member who will be submitting requests on your own behalf (i.e. not for a group, team, club, etc), use your first and last name as the Group Name.
Group Name
* Enter your group or organization name
Group Phone Number
*
Street / Mailing Address
* Enter your group's street address
City
* Enter your group's city
State
- Please Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming * Select your group's state
Zip Code
* Enter your group's zip code
Reason for Registration
* Explain why you're registering this group
External / Outside Groups: Upload the Group's Certificate of Insurance and its Expiration Date.
Accepted formats: PDF, JPG Please note that Moline Coal-Valley School District #40 requires your Group to have a valid insurance certificate on file. Please upload a valid insurance certificate before continuing. District facilities are not available for rent during holidays when the district is closed and during school-year breaks when students are not in attendance.
Expiration Date
Format: MM/DD/YYYY * Insurance file has expired
Additional Group Files
Accepted formats: JPEG, JPG, PNG, PDF
Files marked with star icon are required.