Facility Usage Request Form
Allamuchy Township School District Application for the Use of School Facilities
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Email *
Please submit this completed application at least 30 days prior to the date of the event. Upon submission you will receive an email containing a copy of your request.

If you have questions as you complete this application, please contact:
Pete DeMary:
Email: pdemary@aes.k12.nj.us
Office: 908-852-1894 x300
Fax: 908-850-1213
Event Details
Event Title *
Event Description *
Facility Requested (Building): *
Rooms Requested *
If Classroom, please specify:
If Rutherfurd Hall, please specify where:
Event Date *
Enter date(s) in mm/dd/yyyy format. (i.e. 03/03/2020, 03/04/2022; OR 03/01/2022-03/04/2022)
Arrival time for Set-up:
Start Time of Event: *
End Time of Event: *
Name of Organization or Person *
Organization Info
Contact Name *
Contact Address *
Contact Email *
Contact Phone *
Please select one: *
Set-up Requirements
Please check all that apply:
Additional Services Requested (including set up of chairs, tables, seating chart, etc.):
If a visual set up is required, email documents to Pete DeMary: pdemary@aes.k12.nj.us *
Number of Persons Attending (Groups over 200 may be required to hire security guards for this event) *
Hold Harmless Agreement & Insurance Certificate
Please note a Hold Harmless Agreement & Insurance Certificate listing the Allamuchy Board of Education as additional insured are required by all applicants who are not part of the Allamuchy Board of Education requesting use of school facilities. Profit making organizations may be asked to secure special use permits from the local fire official.
Please read our hold harmless agreement by using the following link: https://www.aes.k12.nj.us/cms/lib/NJ01001493/Centricity/Domain/233/Allamuchy%20Hold%20Harmless.pdf *
Type your electronic signature and today's date to accept the terms of the Hold Harmless Agreement. *
District Policies & Regulations
Please review the following:
Smoking is not permitted in school facilities or on property. No animals are permitted in school facilities or on property without prior approval. *
Contact person shall be responsible for enforcing the Board of Education regulations and for the payment of all charges. A complete listing of Board of Education policies and regulations (policy and regulation number 7510 and 7511) may be found on the website: http://www.https://www.aes.k12.nj.us/ *
A copy of your responses will be emailed to the address you provided.
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