Independent School District 197: Facility Usage Permit

Community Education Facility Usage
1897 Delaware Ave
Mendota Heights, MN 55118
Fax: 651-403-8310
Email: 197facilities@tridistrictce.org

    General Conditions for Rentals

    a. The sponsoring head of the group or organization using facilities must be present to supervise. b. A certificate of liability will be required from applicants who will use school facilities for fund raising activities, profit or commercial gain. c. Applicants must exercise the utmost care in the use of school premises and agree to protect, indemnify and hold harmless Independent School District 197 and its officers, agents and employees from any and all claims,liabilities, damages or rights of action, directly or indirectly, growing out of the use of the premises covered by the permit if insurance is required. d. Use of auditorium equipment require 2 Sound & Lighting technicians to be present. e. A food service employee must be present when use of kitchen is requested. f. Use of facilities is limited to 6:00-9:30 p.m. weekdays, and 8:00 a.m.-9:30 p.m. weekends. g. When custodial fees are applicable, the custodial overtime fee of $35/hour will be applied thirty-minutes prior to your set-up time and thirty-minutes after your tear-down time. h. A $15.00 filing fee will be billed to you after your event is approved. i. For all pool rentals, one lifeguard per 15 swimmers will be assigned at a rate of $14 per hour. Minimum two lifeguards required. j. Return room to original layout.

    Organization Information

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Contact Person Information

    This person will be responsible for all charges associated with this rental.
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Event Information

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    :
    :
    :
    :
    This is a required question
    This is a required question

    Applicant Signature

    I hereby certify that I am an agent of the named organization and have been authorized to accept in their name the responsibility of the rules and regulation put forth by the Independent School District 197 School Board. I further certify that I have read and understand the general rules and regulations for facility use. I have provided a certificate of insurance evidencing liability coverage. I understand that this permit may be revoked or canceled by the school district at any time with or without cause. I understand that issuance of a permit will be the official indication that the space is reserved. The permit will also indicate, if applicable, rental costs. Final billing, of actual costs, will be forwarded to the undersigned and payment must be made within 10 days of receipt. The undersigned agrees to defend, indemnify and hold harmless the school, its agents and employees from any and all claims, losses arising directly or indirectly out of the use by the undersigned of the school’s facilities.
    This is a required question

    ALL REQUESTS MUST BE RECEIVED BY THE COMMUNITY EDUCATION OFFICE AT LEAST 14 DAYS PRIOR TO THE SCHEDULED EVENT. CHANGES TO THIS EVENT MUST BE MADE WITH AT LEAST A 48 HOUR NOTICE OR A PENALTY WILL BE CHARGED. A permit request does not guarantee your reservation. You will receive notification from Community Education staff regarding this request.