USD 220 Facilities Request Form
Pleases use this form to request the use of any USD 220 facilities, thank you.
Last Name
Your answer
First Name
Your answer
Contact Information: Address/Phone/Email
Your answer
Name of Organization:
Your answer
Date of Event:
MM
/
DD
/
YYYY
Time of Event:
Time
:
Requested Facility:
Your answer
Custodial or Food Service Requested:
Indemnity: As the requestor, I represent myself, or the group for whom I am submitting this request, and agree to:indemnify and hold harmless, the District, its board, officers, directors, members, employees, agents, successors and assigns (collectively, the “School Parties” and individually, a “School Party”) from and against, and if requested, shall pay and defend, any and all claims, demands, liabilities, causes of action, damages, costs, or expenses (including reasonable attorneys and legal fees, costs of investigation and disbursements), and judgments made or incurred by or found against any School Party (all collectively “Losses”) resulting from or arising out of (a) any Losses or damages to person or property or claims therefore resulting to or arising from its use of District property or facilities by myself, or the group for whom I am submitting this request, or any individual granted access to the facility thereby, whether from an occurrence at the property or facility itself during such use, before or after such use, going to and from such use, in or about available parking areas or otherwise; (b) any damage to any District property as a result of access granted pursuant to this Agreement; or (c)any breach or default by myself, or the group for whom I am submitting this request or any other representation or warranty of said party under this Agreement, any term or provision of this Agreement, or the operation of the program or use of the facility. By submitting this form, you agree to the above terms.
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