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Alexandria CSD Building Use Form
In emergencies please contact Darin Trickey at (315) 486-5452 or dtrickey@alexandriacentral.org

Requests for building use during the summer, weekends and holidays when no staff is on duty may have different requirements. Please call the District office for more information

ACS will charge the following rates for the use of its facilities.

School-Related Organizations- No use of facilities fees charged for school sponsored activities.

Non School-Related Organizations & Non-profit organizations
Regular shifts – no use of facilities fees charged
Outside regular shifts
-$100/up to four hours for auditorium
-$50/day each for gymnasium
-$25/day each for kitchen, weight room, classrooms

For-profit organizations when activity benefits students and/or community
Regular shifts
-$50/up to four hours for auditorium
-$25/day each for gymnasium
-$10/day each for kitchen, fitness center/weight room, classrooms
Outside regular shifts
-$100/up to four hours for auditorium
-$50/day each for gymnasium
-$25/day each for kitchen, fitness center/weight room, classrooms

For-profit organizations when activity is purely for profit making •
• Fair market value

For transportation only. Fair market value - $5.91 per mile for non school events.


Regular shift is any school day when students are in session from 8:00am and 9:00pm
Outside of regular shifts is any day when students are not in session be


• NOTE: In a contingent or austerity budget, use of facilities rates for all non school-related organizations will be established, using a cost per square foot. All School and Building Procedures and Policies must be followed, including, but not limited to: Building Evacuation upon fire alarms or administrative direction, No parking in Fire Lanes or Reserved spaces, etc.

Building Use Form
Requester Name *
Organization Name *
Contact Name *
Contact Phone Number *
Contact E-Mail Address *
Activity, Event or Transportation (Buses or Vans) *
Date Requested *
MM
/
DD
/
YYYY
Block of Time Requested *
Beginning Time *
Time
:
End Time *
Time
:
Describe your Event *
Room Requested *
Classroom Number
Equipment Required *
Insurance Information *
Required
Submit Insurance
Additional Information
Superintendent Signature and Date


Signature__________________________________________ Date_______________

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