Lake Fenton Schools Auditorium Use Request

Date of Application
Organization
Address
Phone Cell Person in Charge

Description of Event
Date of Event Time of the Event
Time Reserved:
Open Building at: am pm Close Building at: am pm
Total Hours: Anticipated Attendance:
Adult Supervisors:
Name: Phone (Home) (Cell)
Name: Phone (Home) (Cell)
Equipment Needed:

Chairs # Table # TV/VCR Screen

P.A. System Podium Extension Cords # Lapel Microphones Other (Note below)

Curtains/Flys Dressing Rooms Music Orchestra Pit

Signature of Requestor: ___________________________________________

Estimated Rental Fees: (Rates are extimates. You will be billed for actual time following your event)

Building Rental Fees: (Office use only)
Auditorium Rental ______________ hours @ $_____________ = $_____________
(3 hour minimum)
Custodial Cost _____________ hours @ $ ____________ = $ _____________
Student Techs _______________ hours @ $ ____________ = $ _____________
Auditorium Director ______________ hours @ $ ____________ = $_____________
Other Charges ________________________________________________________

Sub Total $___________________
5% Administrative Overhead Fee $ ___________________
Non-Refundable Deposit ($______________)
No Charge ____________
Total $______________________

Renters are responsible to pick up all debris so custodians are able to do normal cleaning. Extra fees may apply for additional clean up.
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Approved By: ________________________________ Date: ________________