2024-2025 USD 343 Facility Use Request Form

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This permit authorizes the use of the school facilities as listed. The person to whom this permit is issued agrees to accept responsibility for the care of the building, will comply with rules and regulations listed on the backside of this page, and the compliance with school board policy covering facility use by non-school groups. (Policy KG)

Facility Use Guidelines

Date and Time Facility Requested *

Person to Whom Issued: *

Address: *

Telephone Number #1 *

Telephone Number #2 *

Email Address *

Group/Organization Represented: *

Please note which option represents your group:

My group is

100% USD 343 Students

30% or more USD 343 Students

Less than 30% USD 343 Students

Purpose of Meeting/Activity: *

Specific Facility/Room(s) Needed: *

PLHS Gym ($50/Hr.)

PLMS Gym ($50/Hr.)

PES Gym ($30/Hr.)

LES Gym ($30/Hr.)

Lecompton Int. Gym ($30/Hr.)

District Office Gym ($30/Hr.)

PLHS Commons Area ($30/Hr.)

PLHS Multipurpose Room ($30/Hr.)

Kitchen ($30/Hr.) (No Equipment Use)

Theatre (No PA system) ($30/Hr.)

Athletic Fields ($30/Hr. No Lights) ($30/Hr. with Lights)

District Office Kaw Room #1 (NW Double Classroom-$30/Hr.)

District Office Kaw Room #2 (W Single Classroom- $30/Hr.)

District Office Kaw Room #3 (E Single Classroom- $30/Hr.)

Required

Equipment Needed: *

Event over four hours? *

Yes

School Personnel Needed: *

None

Custodial (Required if used for 4+ hours +25/hr.)

Maintenance

Staff Member

Required

Total Number of Hours Requested: *

Please Sign (type your name) to agree to all terms and conditions listed in the "Facility Use Guidelines" document linked at the top of this form: *

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