Use of Facilities Form: Delaware Township School

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

NOTE: Your electronic signature attests to the fact that you have read the rules and regulations that are included with this application, per Board Policy 1330, and are willing to accept the responsibility for their enforcement. Further, that you assume the responsibility for the preservation of order in said facility and liability for any damage thereto or loss of property that may accrue. All organizations using the facilities are required to include a copy of your certificate of insurance to this application, which names the Delaware Township School District as an additional insured.

Email *

Identify the name of your Group and describe the type of event you would like to hold at DTS (or reason for the use of our facilities) *

Requested Date(s) of Usage *

Please be specific by including a start date and/or end date.

Requested Time of Usage *

Please include the start and end times

Room(s) Requested *

Please list all of the rooms you wish to use. If you do not have a specific room #, please describe the type of room(s) you wish to use.

Approximate # of People using facilities *

Please list any equipment needed for your event.

Please add any additional information needed for this event.

Name of Applicant that completed this form and/or will serve as "point person" in case of clarifications *

Phone Number of Contact Person *

Acknowledgement *

By selecting this box, I acknowledge and understand that this event must be held in accordance with all District Board policies and regulations.

Required

Clear form

Never submit passwords through Google Forms.

This form was created inside of Delaware Township School District.

Does this form look suspicious? Report

Forms