Newman Central Catholic High School Building Use Request Form
NCCHS Facility Usage Policy and Procedure
All requests for use of Newman Central Catholic High School facilities are sent to Athletic Director's assistant and the Front Office for review and approval.

All entities that use NCCHS facilities must complete a Building/Facilities Use Request Form.

All entities that use NCCHS facilities must obtain an Insurance Waiver and present a copy to the MAIN OFFICE for each year that the entity uses the facility.

For day long events, a Newman custodian must be on duty. Responsibility for payment to this custodian belongs to the renting organization.

For day long events, a $500 court fee will be imposed. A portion of that fee will help defray the cost of maintenance and consumable supplies. Checks should be made payable to “Newman Central Catholic HS Facilities Rental” and presented to the Front Office.

Any equipment or facility damage must be reported to the front office as soon as possible.

This form and a Certificate of Insurance must be on file prior to use of Newman facility.

The Facilities Usage calendar will be displayed in the practice facility.

Rate
The rate for a day long event is $500, unless the event proceeds go into an approved student Activity Account.

One time rental is $20 per court per hour. All other court rentals will be charged $5 per court per hour.

Baseball/softball equipment will be charged at $50 a day.

Cafeteria and kitchen rental will be charged on a case by case basis.

Weekend events require a custodian who must be paid $20 per hour and paid by the renting organization.

Weekend events require a separate charge for a dumpster that must be paid by the renting organization.

Weekend events may require an athletic trainer to be on site and to be paid by the renting organization.

CPR and AED Use
There must be someone who is CPR certified at the activity. A copy of their card will be submitted to the front office.

The requesting organization or party agrees to comply with all state laws pertaining to using an AED during its use of Newman's facilities and agrees to indemnify and hold harmless Newman and its Council of Administration members, agents, officers, employees, volunteers, successors and assigns from and against any and all claims, related to loss of life, personal injury, damage to property, and/or loss in connection with use of an AED during the organization/party's use of Newman's facilities or the organization/party's failure to comply with Newman's medical emergency plan.

These plans can be found next to the AED's and at the concession stands. A copy can be obtained in advance if requested.

Insurance
The requesting organization or party must carry combined property and bodily injury liability with limits of at least $1,000,000 with a carrier acceptable to Newman, specifically insuring property and bodily injuries and the foregoing indemnification obligation and naming Newman's board members, agents, officers, employees, volunteers, successor and assigns as additional insureds.
Contact Information
Name of Organization *
Your answer
Address *
Your answer
Contact Person *
Your answer
Email *
Your answer
Contact Phone *
Your answer
Responsible Person at Activity *
Your answer
Responsible Person at Activity Phone *
Your answer
Name of CPR and AED Representative *
Your answer
Activity Details
Type of Activity *
Your answer
Date Activity Starts *
MM
/
DD
/
YYYY
Date Activity Ends *
MM
/
DD
/
YYYY
Activity start time *
Time
:
Activity end time ( must be out by 9:00 pm) *
Time
:
Number of adults attending *
Your answer
Number of children attending *
Your answer
Is your organization charging an admittance fee for the requested event? *
Amount of admittance fee? *
Are the proceeds for admittance used for an approved Student Activity account at Newman? *
Please indicate which facilities are requested: *
Required
Number of chairs requesting *
Your answer
Number of tables requesting: *
Your answer
Signature of Applicant
NO ACTIVITY CAN TAKE PLACE BY ANY REQUESTING ORGANIZATION OR PARTY UNTIL THIS REQUEST FORM, A COPY OF THE CPR REPRESENTATIVE'S CARD AND THE PROOF OF INSURANCE HAVE BEEN SUBMITTED AND APPROVED.

This form will be submitted to administration for review and approval. You will be notified once it is approved.

I accept the terms and conditions outlined in this application for use of the Newman Central Catholic High School Building and will comply with the terms of this agreement. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Newman Central Catholic High School. Report Abuse - Terms of Service