Torrey Hill Intermediate School
- Lake Fenton Community Schools
Building Use Request
Requests must be received no later than 10
days prior to the event.
Organization:
Person in Charge:
Phone:
Mailing Address:
Request use of:
(Specify Building and Room #)
Event Name:
Event Day(s):
Dates:
From
:
a.m. or p.m. To
:
a.m. or p.m. =
Hours
Including setup and clean up time
Open Building at: Close Building at:
Equipment Needed: (Check and give number needed)
|
Chairs #
Table # TV/VCR Screen |
P.A. System |
Other:
By signing you have agreed to the rules and regulations of the Lake Fenton Community Board of Education and the conditions below. If at any time you or anyone in your group is in violation, this reservation will be revoked. The signer assumes responsibility for the group and the proper use of the facility and will be held responsible for making sure the area reserved is left as it was found. You further agree to keep the group at the requested location and not permit them to wander about the building. If you cannot provide adequate supervision, it will be provided for you at your expense. In addition, you agree to be financially responsible for any damages or liability of any kind as a result of use or misuse of the facility. Custodial and rental fees will be invoiced if applicable. Classroom items and supplies are the property of the teachers and the schools and therefore off limits. You may have the use of certain equipment if prior arrangements are made on this form.
Liability/Hold Harmless: Any individual or group using district facilities agrees to hold the Board of Education, its employees, and Southern Lakes Parks & Recreation harmless from any liability arising from such usage and will provide written proof of insurance when requested. Lake Fenton School District and/or any agent or employee shall be held harmless from any loss, injury, or damage to any persons or property whatsoever and for any reason during the use of said facility. A copy of Lake Fenton Community Schools Board of Education rules and regulation governing the district's building usage policy can be obtained on request. The Board of Education and its agent reserves the right to deny the use of buildings for any purpose that is not consistent with the best interest of the community.
Signature of Applicant:__________________________________________________Date___________________
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Building Rental Fees: (Office
use only)
Building Rental ________________ hours @ $_____________ = $____________ Approved
by: ________________________________ Date: _____________
Custodial Cost ________________ hours @ $ ____________ = $ _____________
Supervision __________________ hours @ $ ____________ = $ _____________