GROUP/ORGANIZATION: / BILLING ADDRESS: / PHONE:
POINT OF CONTACT: / DATE: / E-MAIL ADDRESS:
MISSION/EVENT:
Organizations requesting Maid Service Quarters will submit a Name Line Roster 2 weeks prior to arrival.
MAID SERVICE / Group/Organization / Preferred Area / Special Requirements
Date of Arrival: / MSQs / Houses / .
Date of Departure: / Area 7 / Area 8
# of Male Personnel: / Area 10 / Area 15
# Female Personnel: / Area 19
Total:
TROOP ISSUE / Group/Organization / Preferred Area / Building Type / QTY
Date of Arrival: / Area 7 / Headquarters
Date of Departure: / Area 9 / Dining Facility/Kit
# of Male Personnel: / Area 10 / Maintenance Shelter
# Female Personnel: / Area 15 / Supply
Total: / Non-MSQ BOQs
EDUCATION CENTER / TRAINING AND COMMUNITY CENTER (TACC) / Miscellaneous Resources
Classroom / Size / Quantity / Date(s) Required / Time Required
Ed Center Large Classroom / 41-96
Ed Center Medium Classroom / 21-40
Ed Center Small Classroom / 1-20
Conference Room / 1-10
Recreation Center / 300
Ripley Town Hall / 132
TACC Theatre / 207
TACC Small Classroom / 1-20
TACC Medium Classroom / 21-40
FOOD SERVICE / Catering is available through AAFES Snackbar 320.632.7412 or
Contract Dining Facility 320.616.3173
RANGES 320.616.6015
RANGE / Date(s) Required / Time Required / NON AUTO/
AUTOMATED / AMMO
(ball/match) / TARGETRY TYPE
AUTOMATED TARGET SYSTEMS (ATS) / 320.616.3132
ADDITIONAL INFORMATION:
How many lanes will be used when firing on “BOB”? / # of Lanes:
Annotate targets that will be used: / Target Automation / Target Stands / Own Targets
On F&M 1, designate lanes that will be used: / North Lane / South Lane / Both
When using A-14 (Shoot House) will you be using laser shot? / YES / NO
Do you need video recorded for the Shoot House? / YES / NO
If using F&M 1, F&M2, Crack House or any other un-established range with automated targets; you must pick up transmitters the day prior or by 0730 hours the day of, for instructions on use.
ATS Form 23-1, dtd 1 March 2009
E-Mail: DMA/Civilian Liaison 320.616.2708
E-Mail: Assistant Housing Manager 320.616.3139