BLHS Facility Use Request Form
Please fill out this Facility Use Form to ensure all required staff are aware of your space request and needs are met for your meetings or activities.  Please fill out all questions and notice the fees/costs associated with custodial rates which apply to most requests at the discretion of the district.
Email *
Organization or Business  *
Name *
Phone Number *
Email Address *
This email will be used to contact you when your request has been approved.
Date of event *
I am requesting to borrow school items and acknowledge I am responsible for fees assigned for use or damages when returned.
I am requesting the following items for use (list item and number of items):
What time do you need doors open?
Time
:
What time does your event start or what time are picking up items requested? *
Time
:
What time does your event end- doors will be shut off at this time.
Time
:
What doors do you need open or will you be using? *
Required
What space do you need to use?
Number of People Expected to Attend
How will you be utilizing the facility? (Brief description of the event/activity)
Equipment and supplies needed during your event?
Please state whether you are bringing in food or not to be served.
Clear selection
If you are bringing in your own equipment, please list what items you will be bringing in. (Crockpots, roasters, power items, food etc.  The school needs to know these items to make sure they align with licensure)
I understand that if the space requested is not cleaned properly, garbage taken out, needs sweeping or mopping I am obligated to pay a $25/ hour fee at the discretion of the district.

 *
Required
By completing this form, I understand I am liable for any and all damages while using the facility.  I do not hold BLHS liable for injury or damages during this time. *
Required
By completing this form, if I am an outside organization I understand at the district's discretion a fee can be assigned for the use of facilities. *
Required
By completing this form, I understand if I am a student at BLHS I must have a parent or guardian present while I am using the facilities.   *
Required
Name of parent or guardian and phone number. *
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This form was created inside of BLH Public Schools ISD #2159.

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