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:
P.A. System Podium Extension Cords # Lapel Microphones Other (Note below)
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. -------------------------------------------------------------------------------------------
Approved By: ________________________________ Date: ________________