Facilities Reservation/Rental Request Form (Off-Campus/External Groups)
Thank you for your interest in facilities-use/rental at the Wiseburn campus, located at 201 N. Douglas Street, El Segundo, CA. To request space, please fill out the Application and Facilities Reservation/Rental form below. Completion of this Application is a request and does NOT guarantee approval to conduct the event. Applications will be acted upon within 5 working days to confirm availability. Applications must be submitted at least 15 days prior to the event. For more information, please contact Annie Aung at aaung@wiseburn.org.

Email address *
Applicant Organization *
Your answer
Contact's Name *
Your answer
Contact's Cell Phone No. *
Your answer
Event Name *
Your answer
Facility/Space Requested *
Required
Date(s) of Requested Use *
Your answer
Arrival Time *
Time
:
Start Time of the Event *
Time
:
End Time of the Event *
Time
:
No. of Attendees Expected (Additional staff and/or security may be required for events with 100+ attendees) *
Your answer
Event Description/Purpose *
Your answer
Special Requests (equipment/net height, tech, set-up, etc.)
Your answer
Fees
Fees, when applicable, shall be charged in accordance with the currently adopted rate schedule (link below). An invoice will sent to you via email.

See: https://www.davincischools.org/wp-content/uploads/2018/11/Facilities-and-Grounds-Use-Policy-APPROVED_09192018.pdf

For more information, please contact Annie Aung at aaung@wiseburn.org.

Agreement
Applicant Organization agrees to comply with all the terms and conditions set forth in this Application and Facilities-Use/Rental Agreement and the Da Vinci Schools Board Policy on Facilities Use. Applicant Organization using the school facilities acknowledges and understands school facilities are provided "as is" and assumes any and all risks associated with its use of the school facilities. Applicant Organization shall indemnify and hold Da Vinci Schools and Wiseburn Unified School District, and its officers, agents, representative, and employees harmless from any and all liability, loss, damage, injury, cost, or expense arising out of or related to the Applicant Organization's use of the school facilities. Permission to use school facilities may be revoked at any time.
Agreement cont. *
Signature (enter your full name) *
Your answer
Submit
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