Cañon City Schools Request for Use of School Facilities
Minimum of two weeks notice required on all requests
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Email *
Date filling out request form:  *
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Facility/Requested: *
Contact Person:  *
Group/Organization: *
Phone Number:  *
Email Address  *
Mailing Address: *
Facility: *
Facility Use Date(s):  *
Facility Use Times:  *
Facility Use Arrival:  *
Facility Use Departure: *
Facility Use Purpose:  *
Special Arrangements or Equipment Needed: (List AV Equipment, Tables, Chairs, Etc. and quantity) *
Notes: (Please add any additional information to help us with your inquiry) *
Note For Use: Facility is unavailable on non-student days, unless otherwise arranged.
CERTIFICATE OF LIABILITY INSURANCE NAMING CAÑON CITY SCHOOLS AS ADDITIONALLY INSURED WILL BE REQUIRED FOR ALL BUSINESS CONTRACTS.
-Users may be assessed an Energy/Supplies/Equipment Use Surcharge.
-Custodial, evening supervision, kitchen, nutrition services good or services, or other coverage outside of or in addition to regular hours/coverage will be billed at  the Facility Use Rate Schedule
-If technicians are needed to operate sound, lighting or other equipment there will be a charge for their services, will be billed at  the Facility Use Rate Schedule
-Snow Removal Fee:  There will be a $100.00 fee applied per day for each facility listed within the contract if snow removal is required during the duration of the agreement. This fee applies to all Category 2 & Category 3 organizations.

Please access Facility Use Rate Schedule through this link

*Charges for services may apply on weekends, after regular hours, holidays, or non-school days for all categories.

Category 1 - All school related organizations providing services to students attending Canon City Schools

Category 2 - Non-profit youth community groups who are also students attending Canon City Schools

Category 3 - All other groups not categorized in Category 1 or 2

Total number of hours for facility use. See fee schedule link above for for hourly rate. *
Total number of hours for Audio/Visual Tech @ $40.00 an hour. *
Total number of hours for Custodial Services @ $40.00 an hour.
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Total number of hours for Nutrition Services @ $40.00 an hour.
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Total number of hours for Security Services @ $40.00 an hour.
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Applicant's Signature: By signing, applicant is agreeing to comply with applicable laws, including those related to discrimination.

      The district does not discriminate on the basis of race, color, national origin, ancestry, creed, sex, sexual orientation, gender identity, gender expression, marital status, religion, age, disability, or any other status protected by applicable federal, state, or local law in the administration of facility use or in determining eligibility for use of school facilities.

     All individuals, groups, and organizations using district facilities must conduct their activities in a non-discriminatory manner. Users may not exclude participants, deny access to their programs or activities, or otherwise discriminate against any individual on the basis of race, color, national origin, ancestry, creed, sex, sexual orientation, gender identity, gender expression, marital status, religion, age, disability, or any other status protected by law while using district facilities.

     Violation of this non-discrimination requirement may result in immediate revocation of facility use privileges, denial of future requests, and any other remedies available under the law.


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This form was created inside of Canon City School District Fremont RE-1.

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