Use of School Facilities
Request to use: *
Required
Special Arrangements Needed: (Please list)
Your answer
Individuals requesting and assuming responsibility: *
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For the following group:
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Number of people using the facility:
Your answer
Date and time: *
MM
/
DD
/
YYYY
Time
:
Purpose of use: *
Your answer
Profit making:
Your answer
Non-profit making:
Your answer
The school requests this form be TURNED IN AT LEAST 30 DAYS PRIOR TO THE EVENT. Approval of this request will require the person signing the building use form to be present while the school facilities are being used. The building will be available Monday-Saturday. A custodian will be present while the building is being used. The custodian will unlock, lock, and provide services while the building is in use. Profit making organizations will need to pay custodial fees of . Groups will need to provide a copy of the liability policy, if applicable, to the business manager prior to using the building. Organizations covered under the West Harrison umbrella liability policy will not need to provide proof of insurance. RELEASE FROM DAMAGES: The organization or group named above hereby releases the West Harrison Community School District form all responsibility and liability during the dates and times scheduled. I have read and understand all of the regulations stated on this request form. I will be responsible in making these regulations known to all members of the group for which I am responsible and is identified on this request form.
Type your name: *
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Address: *
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Telephone: *
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Your e-mail address: *
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