Facility Request
Royalton Public Schools District Facility Use Request Form
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Email *
First Name *
Last Name *
Organization Name
Phone Number *
Email Address *
Address *
City *
State *
Zip Code *
Type of Event *
Describe event.
Expected Attendance *
Number of people you expect to attend.
Date of Facility Request *
One facility request form required for each date you want to reserve.
MM
/
DD
/
YYYY
Start Time Requested *
Make sure you include setup time.
Time
:
End Time Requested *
Make sure you include take down time.
Time
:
What time does your event start (Performance Time) *
Start time of Concert, Performance, Presentation, etc.
Time
:
Elementary School Facility Requested
Choose the Elementary School Facility you are requesting.
Secondary School Facility
Choose the Secondary School Facility you are requesting.
Will food be served? *
Are you serving food at your event/activity?
What special equipment do you need?
Any special equipment needed?
I acknowledge that have read and agreed to the Royalton Public Schools Facility Use Policies and Procedures *
Required
* I agree to release Royalton School District/Royalton Community Education and its employees of all liability to medical emergency and accidents or injuries that might incur while using the Royalton School District facility. *
Required
I acknowledge that if I am reserving a facility for a youth activity that I have the required criminal background check on file with the school district. *
Please list any questions or comments you have regarding this request.
My typed name below shall be used in place of my signature and indicates that I have read, understand, and agree to the terms and conditions of the Use of the Royalton School District Facility.   *
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