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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YYYY
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 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.
 *
Total number of hours for Nutrition Services @ $40.00 an hour.
 *
Total number of hours for Security Services @ $40.00 an hour.
 *
Applicant's Signature: *
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