Application for Use of District Facilities
Pacific Elementary School District
Tell us about your Organization
Date of Application
Name of Your Organization
Name of Primary Contact Person
Complete mailing address
Tax ID #, if applicable
Tell us about your plans.
Briefly describe your event.
Some use of facilities requires custodial support, any use of the kitchen requires one or more kitchen personnel. Please indicate anticipated personnel required for your event.
Date of Proposed use
Is this a repeating event?
If repeating, what is the frequency?
Estimated Number of Attendees
Estimated parking spaces needed - If you anticipate more than 5 parking spaces, please submit a parking plan to
Number of Chairs needed
Number of Tables needed
Estimated revenue from the proposed event.
Revenue will be used for ...
Fees charged by Pacific Elementary School District are related to the purpose of your organization/event.
Please read below and select the category that best describes your organization/event.
I and/or the organization applying for use fit in the following category:
School Affiliated (Parents Club, Davenport Resource Service Center) OR Declared Emergency (Red Cross, CalFire)
Reduced Cost (Employee-sponsored youth activities offering financial aid, Non-profit youth groups offering financial aid, governmental organizations, Davenport North Coast Association)
Direct Cost (All other non-profit organizations, other youth organizations offering financial aid)
Fair Market Value (All other groups & uses)
Payment for facility use is due one week before your event. Deliver payment to the school office or by post to Pacific Elementary School, P.O. Box H, Davenport, CA 95017. Cash or Check only (no credit/debit cards accepted). All fees including wages for kitchen and/or custodial staff must be paid in advance. Make checks to Pacific Elementary School.
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