Floodwood ISD 698 Facilities Use Form

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You have read and agrees to the terms, conditions and fees in the facilities use agreement.

Email *

Date of Request *

YYYY

Requestor's Name *

Organization/Group *

Billing Address *

City *

State *

Zip *

Phone *

Email *

On-Site Supervisor in Charge *

On-Site Supervisor Phone *

Name of Activity *

Space Requested *

Event Days *

YYYY

Event Start Time (Indicate if AM/PM) *

Time

Event End Time (Indicate AM/PM) *

Time

Setup Time (indicate AM/PM)

Time

Tear Down Time (Indicate AM/PM)

Time

Estimated Number of Attendees *

Will admission be charged? *

Yes

Custodial Support Needs: (i.e. tables, chairs, etc.) *

Audio Visual Needs

Comments and/or Special Arrangements

Conditions for Use

This application must be submitted 5 (five) working days prior to the date of use. If not received at least 5 (five) working days before the events, space usage is not guaranteed. Confirmation is not insured until you receive a copy of this application back.
A signed and dated copy of this application must be with person(s) using facilities.
The facilities may be closed on days when school has been closed for an emergency.
If a fee is charged, a bill will be provided with the return of this application. A billing statement will be sent after the event, which will reflect the actual use of the facilities including any additional time incurred due to early arrival or extended use, set up and/or clean up time, equipment rental, lab fees, etc. In some cases, advance payment may be requested.

Responsibilities of Adult On-Site Person in Charge

Complete information on Floodwood ISD #698 facility use policy and guidelines are available within the District office or online at www.isd698.org. Submission of client's online request serves as signature. If you have questions concerning your reservation, contact Ashley Engh at aengh@isd698.org.

Supervision of all persons using the area requested. On-site adult person in charge must stay on site until all students have left.
Unsupervised student(s) is not allowed in the school before or after school hours before scheduled activity.
Supervision of student(s) is required or student(s) will be asked to leave the building and return when the activity is supervised.
That person using the area requested remain in that assigned area.
That the area and and equipment be used in safe and reasonable manner.
Counters and tables must be wiped clean (especially food, juice and markers). The room should be left in the same condition it was found.
Turn off any electrical equipment, close all windows and lock doors before leaving.
Report any injury to persons under supervision to the Community Education Coordinator at 218-476-2285 ext. 70108.
Report all breakage or damage to building or equipment to the Community Education Coordinator at 218-476-2285 ext. 70108.
The adult person in charge will be responsible for any and all damage to building or equipment that is incurred as the result of inadequate supervision or improper use. That adult person in charge will be billed for the cost of repairs or replacement.
Adult supervisors/chaperones must be present for all student dances.

Electronic Signature *

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