Facilities Request Form
Please complete this form to request the use of a facility in the Princeton Public School District. You will also need to submit a Certificate of Insurance through mail, email, or fax.

25 Valley Road • Princeton, NJ 08540 • 609.806.4200 x 2015
Fax 609.806.4225
Email: facilities@princetonk12.org

FEES: The Use of Building Fee/Custodial Fees must be paid on receipt of an invoice.

CERTIFICATE OF INSURANCE: The Board of Education carries insurance covering its legal liability, but assumes no liability of the licensee. The Board of Education requires that the applicant complete the Hold Harmless Agreement on the application and file a Certificate of Insurance naming Princeton Public Schools Board of Education as an additional insured and providing contractual liability insurance. The minimum amount of insurance coverage is to be $1,000,000 Bodily Injury and Property Damage Combined Single Limit.

HOLD HARMLESS AGREEMENT: The applicant shall covenant for himself, his executors, administrators and assigns that he will keep and save harmless and indemnify the Board of Education, their successors, and assigns, from any and all liability for anything arising from or out of the occupancy of the applicant, his executors, administrators, or assigns, or his or her servants or agents and from any loss or damage arising from any fault, negligence, act or omission by the applicant, his executors, administrators or assigns, or failure on his or their part to comply with any covenant, condition or obligation contained in this application, whether such loss or damage be caused by the failure of the Board or Education, their successors or assigns to perform any covenant contained herein to be performed by said Board of Education, their successors or assigns.
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Name of Organization
Address
Contact Person
Telephone Number
Email Address
Building Requested
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Space Requested
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If you are requesting a classroom space, please indicate the number of classrooms:
Dates Requested
Please enter the date: mm/dd/yyyy
Days of the Week
Time Period Requested
Alternative Dates
Please enter the date: mm/dd/yyyy
Anticipated Attendance Number
Reason for Use
Will Food be Served?
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Please enter your initials to indicate the authenticity of this submission.
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