Whittemore-Prescott Jr/Sr High School Facility Use Form

Facility Use Request

Application for the use of*

Name of Applicant*

Contact Phone #*

Email*

example@example.com

Purpose of Facility Use*

Date requested*

Date

If multiple days, enter end date

Date

Begin Time each day

Hour Minutes

AM/PM Option

End Time each day

Hour Minutes

AM/PM Option

If you require different times on different days, you must submit a form for each day.

If you need equipment or other items, please specify

Comments/notes

For uses other than school-related activities, the applicant agrees to be responsible to the school district for any loss, injury, or damage due to one's person, building or grounds; or loss or damage of furniture, stage, gym, or any other equipment. The applicant agrees to replace or repair property lost or damaged during the time of use.

Please Read the Memorandum Before Signing and Turning in Form***

To: Groups Interested in School Facility Usage

Please be advised that the following procedures are to be implemented immediately:

1. Facility Use Form - These are to be completed for all after school events, with the exception of athletic games and practice schedules to the head custodian. Simply put, if a group has no authorized form, they are not to use the school facility. Custodians who unlock any rooms for groups without this form are subject to disciplinary action. Building custodians are to contact the building principal if any group is found using the building without prior permission. 2. It has been and shall continue to be the practice that custodial staff assist in the setup and takedown/cleaning for all extra-curricular events, including athletics. In some cases, a custodian may be required for the event and charged to the group listed on the application. Special instructions will typically be found on the facility use form. 3. Groups are expected to assist in the clean-up of all facilities used, else they will be charged for the time it takes the custodian to do the job. In addition, doors must be secured, lights turned off and alarm set when applicable. Any mess left by a group shall be reported to the group. Future consideration will be given as to whether groups should be charged for inadvertently setting off the security alarm.

I thank you ahead of time for your consideration of these procedures. Please let me know if there are any questions you have regarding this matter. On behalf of the staff and students of Whittemore-Prescott Area Schools, we hope that your group has a positive experience in using our facility.

Applicant's Signature*