Mosinee Facility Request Form

Email address *
Facility Request Form
Name *
Your answer
Phone *
Your answer
Dates *
Your answer
Times *
Your answer
Location *
Your answer
Purpose *
Your answer
Facility set up requests *
Ex. Tables, Chairs, Bleachers, Podium
Your answer
Electronic Signature (type name to verify) *
The undersigned is the organization/individual requesting use of the Mosinee School District Facilities as noted in this contract. I have the authority to legally bind this organization and hereby obligate the organization to provide liability insurance coverage in the amount of at least $500,000 (when applicable) and to indemnify the school district and hold it harmless from any liability arising from our use of the school district property. Our organization will be responsible for any and all damages to the school district property arising from our use. The organization has familiarized itself with the Facilities Use Policy of the District and agrees to comply with all conditions of that policy. The organization accepts that the school district may have to preempt our scheduled use of district facilities in which case we understand the district will give as much advance notice as possible and that any money we have paid for use of the facilities will be refunded.
Your answer
Facility cost and confirmation of reservation will be communicated when applicable
A copy of your responses will be emailed to the address you provided.
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