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Facility Use Form
Email address
Organization Name
Your answer
Contact Person
Your answer
Telephone Number
(xxx) XXX-XXXX
Your answer
Building
Purpose
Your answer
Participation
Number of people participating
Your answer
Activity Date
MM
/
DD
/
YYYY
Recurring
Start Time
Time
:
End Time
Time
:
Access needed before or after
(set-up, rehearsals, etc.)
Early Access
Please provide detail on when you need early access.
Your answer
Facilities Requested
Check all that apply
Required
Entry
Doors needing to be unlocked
Your answer
Police
If requested, the school will hire and pay police, and you will be charged accordingly.
Police Details
If police are requested, provide who is responsible for coordination.
Your answer
Cleanup
Who will be responsible for cleanup?
Your answer
Kitchen
Who will be opening Kitchen, if need be?
Your answer
Info
Additional Information/Comments/Use of Specialized Equipment Request:
Your answer
Disclaimer
One time use of a district facility will require payment at the time the application is submitted for use of the facility. Parties who sign up for multiple uses of the facility will be billed on a monthly basis. Final payment will be required prior to the last day of use.
Please make checks payable to: Narragansett Regional School District
100% NO TOLERANCE ZONE FOR ALCOHOL, TOBACCO OR DRUGS
Hazing and use of any of the above products within the school buildings, the school facilities, on the school grounds or on school buses by any individual, including school personnel, is strictly prohibited.
Signature
In compliance with the e-sign act of 2001 please type your name here to sign this document.
Your answer
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