905.1E1 Use of Facilities-Application Form

POSTED: July 26, 2024

 Code No.  905.1E1

 

COMMUNITY USE OF SCHOOL DISTRICT FACILITIES & EQUIPMENT APPLICATION FORM

 

The undersigned entity makes application for the use of the school district facility or equipment as designated below.  The entity will provide police protection at its own expense, if necessary, to maintain order and to properly protect the building, site, or equipment.  Police protection is required when admission is charged.

 

Please refer to Policy 905.1 to determine the proper use of school facilities and equipment.  The entity is responsible for complying with the law, board policy and the administrative regulations.

 

The entity must provide an Indemnity and Liability Insurance Agreement, Code No.  905.1E2, prior to the use of school district buildings, sites, or equipment

 

Building/Site/Equipment Date
Purpose Hours

 

Auditorium Gymnasium
Seating requirements on stage  Seating  Scoreboard
Tables required on stage  Public address

 system 
Stage curtain & attendant Matron 
Spotlights 
Microphones  Classroom
Podium Stand  ICN
Table Stand in audience Computer lab
Other equipment  Other

 

Total Fee $                          

 

Name of entity making application:
Name of person making application:
Address: Phone #:

 
(Signature of Applicant)
(Date)

 

Approved: August 8, 2005

Reviewed:

Revised:

 

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