Application For Use of Building
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Email *
Today's Date *
MM
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DD
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YYYY
Name of Group Using Facility *
Are you a non profit organization? *
Facility Requested *
Required
Date(s) Facility is Requested *
Time From (please include set-up time) *
Time To (please include clean up time) *
Purpose of Meeting *
Name of Adult Responsible *
Telephone Number *
Equipment Needed (no equipment will be provided unless listed on this application) *Note: Gym shoes or socked feet required when using gymnasiums. *
Do you need WIFI? *
Proof of Insurance for Group (if not school activity) *
Name of Insurance (enter N/A if school activity) *
Policy Number (enter N/A if school activity) *
Waiver excluding the Felicity-Franklin Schools from any harm/injuries incurred while on premises.  (By entering your name, you are hereby giving consent to this electronic means of collecting this information in lieu of a paper consent/signature) *

Additional fees may be assessed after event if facility is not left in the same general state of cleanliness as it was rented. Facility is expected to be: picked up after event, floors swept, spot mopped for any spills, all table(s)/chair(s), etc back to original location(s), and garbage taken out. If you would prefer not to do the necessary housekeeping items yourself, please indicate that below and a fee of $40.00/hour of rental (minimum of 2 hours) will be added to your building usage fee.


Note: If any of the above items are not completed after your event, a fee of $40/hour (minimum 2 hours) to complete cleanup will be assessed and billed.


Custodial Services Needed

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Additional Comments
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