905.EH1 Community Use of District Buildings/Sites/Equipment

COMMUNITY USE OF DISTRICT BUILDINGS/SITES/EQUIPMENT APPLICATION            Code No. 905.EH1

The undersigned entity makes application for the use of the school district facility or equipment as designated below.  The entity will provide police protection at its own expense, if necessary, to maintain order and to properly protect the building, site, or equipment.  Police protection is required when admission is charged.

Please refer to Policy 905.01 to determine the proper use of school facilities and equipment.  The entity is responsible for complying with the law, board policy and the administrative regulations.

The entity must provide an Indemnity and Liability Insurance Agreement, Policy 905.1E2, prior to use of the school district buildings, sites, or equipment.

Building/Site/Equipment                                                 Date                                                                                    

Purpose                                                                          Hours                                                                                    

Gymnasium                                                                    Classroom

Seating                       Scoreboard                                    ICN                                                    

Public Address System                                                    Computer Lab                                            

Employee                                                                        Other                                             

Total Fee                                             

Name of entity making application:                                                                                                                   

Name of person making application                                                                                                                  

Address:                                                                                    Phone:                                                            

                                                                                                                                                           

(Signature of Applicant)                                                (Date)