Facility Use Form
This form must be filled out to request any White River School District room or facility for after school hours. Contact the WRCAP office at 360.829.3366 for questions regarding availability and rates.
Organization Name *
Please enter the name of the organization requesting use of the facility.
Your answer
Contact Name *
Who do we need to contact regarding this reservation?
Your answer
Type of Event *
What type of event will you be having; scrapbooking, dance recital, meeting
Your answer
Street Address *
Organization or contact person's street address
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Daytime phone *
Your answer
Evening Phone
Or Cell phone number
Your answer
Facility Request
Please select which facility and area you wish to reserve.
Location/School being requested. *
Select Room/Area *
Required
Month, Date and Time
Please enter which month(s), day(s) and time(s) you wish to reserve. Separate each Month by listing it on a different line, Thank You!

Event Start Date *
Date of event or first event in series.
MM
/
DD
/
YYYY
Addtional Event Dates
List all other dates for reoccuring events
Your answer
Event Start Time
Time reservation starts
Time
:
Event End Time
Time event and reservation should end after clean up.
Time
:
Additional needs
Please enter the number of each item you will need for your event. If you do not need an item, just enter the number '0'.
Chairs (how many?) *
If you don't need any chairs, enter '0'.
Your answer
Tables (how many?) *
If you don't need any tables, enter '0'.
Your answer
Sound Person *
Do you need help with sound system set up? (Y/N) ( Note this is not an available option at all facilities and there may be additional charges for this service.)
Your answer
Mics (how many?) *
If you don't need any mics, enter '0'.(Note this is not an available option at all facilities.)
Your answer
Indemnification / Hold Harmless
The User shall defend, indemnify and hold the District, its officers, officials, employees and volunteers, harmless from any and all claims, injuries, damages, causes of action, losses, costs (including attorney fees), suits or judgments arising out of the negligent use of the District property in connection with this agreement. The applicant agrees to strictly observe and enforce all rules and regulations of the White River School District, in which the facilities are requested. The White River School District does not maintain insurance that will respond to claims against the applicant arising out of the use of the facilities by the applicant, its members, or those attending the event. The applying user/group may be required to be covered by comprehensive general liability insurance. If insurance is required, the applicant is responsible for obtaining said insurance and, at the time this application is approved, must present satisfactory proof that such a policy is or will be issued to cover the proposed use.
Hold Harmless Agreement *
By checking the box below you are indicating that you have read and agree with the terms and conditions stated in the above paragraph. Your email address will serve as the verification signature to reserve your facilities request. Both are required.
Required
Email Address *
Contact email address
Your answer
Submit
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