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Facility Request
Royalton Public Schools District Facility Use Request Form
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* Required
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Organization Name
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Type of Event
*
Describe event.
Your answer
Expected Attendance
*
Number of people you expect to attend.
Your answer
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
:
AM
PM
End Time Requested
*
Make sure you include take down time.
Time
:
AM
PM
What time does your event start (Performance Time)
*
Start time of Concert, Performance, Presentation, etc.
Time
:
AM
PM
Elementary School Facility Requested
Choose the Elementary School Facility you are requesting.
Choose
Elementary School Gym
Elementary School Cafeteria
Elementary School Media Center
Elementary School Baseball Field
Elementary School Music Room
Option 6
Secondary School Facility
Choose the Secondary School Facility you are requesting.
Choose
MS/HS Senior High Student Commons (Lions Den)
MS/HS Commons
MS/HS Media Center
MS/HS Cafetorium
MS/HS North Gym
MS/HS Central Gym
MS/HS South Gym
MS/HS PE Practice Field
MS/HS Softball Field
MS/HS Baseball Field
MS/HS Football Field
MS/HS Board Room
MS/HS Wrestling Room
MS/HS Student Parking Lot
Will food be served?
*
Are you serving food at your event/activity?
Yes
No
What special equipment do you need?
Any special equipment needed?
Sound System
Special Lighting
Food Service Personnel
Tables
Chairs
Other:
I acknowledge that have read and agreed to the Royalton Public Schools Facility Use Policies and Procedures
*
Yes
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.
*
Yes
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.
*
Yes
NA - I am not reserving this facility for a youth activity
Please list any questions or comments you have regarding this request.
Your answer
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.
*
Your answer
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