New Account Setup

User Information

First Name

*

Last Name

*

Phone Number

E-mail Address

* *

Confirm E-mail Address

* *

Password

*

Confirm Password

* *

Group Information

Amphi Staff: Please email your details directly to the Facility Usage Coordinator, a minimum of 2 weeks in advance and please include the following details:

• Date(s)
• Start time (time you/partcipants will arrive/includes setup time)
• End time (time you/participants are gone by/includes tear down time)
• Expected number of participants (include audience when applicable)
• Event title
• All spaces used (include specific classroom numbers/names, as this is where your HVAC will be programmed)

Group Name

*

Phone Number

*

Street / Mailing Address

*

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 *

Zip Code

*

Reason for Registration

*

Additional Group Information

*Please note that Amphitheater Public Schools requires your Group to have a valid insurance certificate on file. Please upload a valid insurance certificate before continuing.

Expiration Date

* Insurance file has expired