COMMUNITY USE OF SCHOOL DISTRICT FACILITIES & EQUIPMENT APPLICATION FORM
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 905.1R1 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 the use of school district buildings, sites, or equipment
Denison Community Schools
Agreement to Use Facilities
Date__________________________
Name of Organization____________________________________________________
____School Organization ____Non-Profit ____Profit-Making
Organization person in charge_____________________________________________
Address________________________________ Phone___________________
Email__________________________________
Facilities Requested_____________________________________________________
Facilities will be used for__________________________________________________
Date or dates requested__________________________________________________
Time requested_________________________________________________________
School contact person____________________________________________________
Special Instructions______________________________________________________
______________________________________________________________
Certificate of Insurance provided_________________
Fees_______________________________________________
Denison Community Schools Organization using facility
_____________________________
Signature
_____________________________
Title
_____________________________
Phone
Date Board Adopted: 10/19/2009
Date Board Updated/Reviewed: 03/21/2022