Gym/Multi Request Form
GENERAL CONDITIONS FOR FACILITY USE
User agrees that the property and facilities of Brunswick R-II School District (Facility herein shall be defined as the portion of the property wherein the event is being held as well as any other parts of the campus being utilized by the group including, but not limited to, parking lots, fields, sidewalks, hallways and restrooms) shall be used only for purposes that conform to, and in a manner consistent with, federal, state and local law and the policies and procedures of the institution and only for the purposes as described herein.

1. User agrees to abide by all fire, safety, traffic and parking, and public safety requirements of the institution.

2. Smoking is not permitted in any facility.

3. The sale, consumption or possession of alcoholic beverages shall not be permitted on the premises at anytime. Nor shall any person who is in a drunken or intoxicated condition, or who is under the influence of liquor, be permitted on the premises. The primary contact person above will be held responsible for the enforcement of this rule.

4. The use of profane language or gambling in any form is not permitted in any facility.

5. No use of equipment shall be granted unless an instructor or attendant, approved by the institution, is in charge of the rooms or equipment.

6. User agrees to be responsible for any damages to any facilities and/or property or injury to other persons caused by persons using the facility under this Agreement.

7. User agrees to indemnify, defend and hold harmless Brunswick R-II School District, its board, administrators, employees, agents and volunteers from any and all claims, suits, actions and liability arising or alleged to arise out of injuries or damages sustained by any person as a result of the use of the facility under this Agreement, not withstanding the negligence of the institution, its board, administrators, employees, agents and
volunteers.


Requests will be processed during school business hours 7:30 A.M. - 4:00 P.M. Monday - Friday. If the gym/multi are available for the times requested, your practice will be added to the practice schedule. You will be notified whether or not your request is available. Thanks!
Name *
Email *
Contact Number *
Activity *
Requested Date *
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Practice Start Time
Time
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Practice End Time *
Time
:
Additional Date (Optional)
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DD
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YYYY
Additional Practice Start Time (Optional)
Time
:
Additional Practice End Time (Optional)
Time
:
Additional Date Requested (Optional)
MM
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DD
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YYYY
Additional Practice Start Time (Optional)
Time
:
Additional Practice End Time (Optional)
Time
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Additional Date Requested (Optional)
MM
/
DD
/
YYYY
Additional Practice Start Time (Optional)
Time
:
Additional Practice End Time (Optional)
Time
:
Which Room/Section are you requesting? *
Required
Notes:
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