REQUEST FOR USE OF SCHOOL PROPERTY
Request for use of ___________________________________________________________________________
Date of use ________________________________________________________________________________
Starting time ____________________________________ Ending time_________________________________
Request made by ___________________________________________________________________________
(Sponsoring Group or Organization)
Purpose of use ______________________________________________________________________________
Admission charge: Yes _______________ No _______________
The following stipulations apply to non-school-related individuals, groups, and organizations.
The undersigned user of school property hereby agrees to:
1. Observe the rules and regulations for the use of school property as established in board policy.
2. Assume full responsibility for loss or damage to school district property resulting from such use.
3. Assume full responsibility for personal injury sustained by any person as a result of such use and waive all school district liability.
4. Pay the usual and customary fee for such use.
5. Sign a hold-harmless agreement with the District.
6. Signing this statement acknowledges that the person below has provided the school district with proof of insurance coverage.
Request approved ____________________________ Fee __________________________________________