Alexandria CSD Building Use Form
In emergencies please contact Darin Trickey at (315) 486-5452 or dtrickey@alexandriacentral.org

Requests for building use during the summer, weekends and holidays when no staff is on duty may have different requirements. Please call the District office for more information

ACS will charge the following rates for the use of its facilities.

School-Related Organizations- No use of facilities fees charged for school sponsored activities.

Non School-Related Organizations & Non-profit organizations
Regular shifts – no use of facilities fees charged
Outside regular shifts
-$100/up to four hours for auditorium
-$50/day each for gymnasium
-$25/day each for kitchen, weight room, classrooms

For-profit organizations when activity benefits students and/or community
Regular shifts
-$50/up to four hours for auditorium
-$25/day each for gymnasium
-$10/day each for kitchen, fitness center/weight room, classrooms
Outside regular shifts
-$100/up to four hours for auditorium
-$50/day each for gymnasium
-$25/day each for kitchen, fitness center/weight room, classrooms

For-profit organizations when activity is purely for profit making •
• Fair market value


Regular shift is any school day when students are in session from 8:00am and 9:00pm
Outside of regular shifts is any day when students are not in session be


• NOTE: In a contingent or austerity budget, use of facilities rates for all non school-related organizations will be established, using a cost per square foot. All School and Building Procedures and Policies must be followed, including, but not limited to: Building Evacuation upon fire alarms or administrative direction, No parking in Fire Lanes or Reserved spaces, etc.

Building Use Form
Requestor Name *
Your answer
Organization Name *
Your answer
Organization Address *
Your answer
Contact Name *
Your answer
Contact Phone Number *
Your answer
Contact E-Mail Address *
Your answer
Activity or Event *
Your answer
Date Requested *
MM
/
DD
/
YYYY
Block of Time Requested *
Your answer
Beginning Time *
Time
:
End Time *
Time
:
Describe your Event *
Your answer
Room Requested *
Classroom Number
Your answer
Equipment Required *
Insurance Information *
Required
Additional Information
Your answer
Signatures
for internal use only
Supervisor Signature
Your answer
Superintendent Signature
Your answer
Submit
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