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)
