Facilities Building Use Form

The following information must be provided by the person in charge of any program, event, or performance, to all persons who do not regularly attend classes in such buildings.

Please inform all participants of the following policies at the beginning of each event or program.


Posted near the door of each classroom is the following information to be reviewed:

Procedures to be followed in the event of an emergency;
Information about fire alarm systems;
Locations of exits;
Means of egress;
Evacuation procedures;


The board, having given full consideration to the health hazards associated with smoking and in compliance
with federal and state laws, prohibits smoking anywhere in the school buildings or grounds of the District.


Notice is hereby given that Addison Central School District is in compliance with federal law, including the
provisions of Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973,
does not discriminate on the basis of race, sex, color, national origin, age, or handicap in its administration of
education policies, programs, activities, services, or employment. Inquiries or complaints should be directed

Title IX Compliance Officer
Addison Senior High School
1 Colwell Street
Addison, NY 14801


Responsible for insurance rests with the signatory of this form. We recommend that you confer with your
insurance agent to get appropriate insurance. Claims are generally placed against Homeowner’s Policies.

Any questions or Concerns in regards to this request email: acsdbu@addisoncsd.org