Request for Title I Gym - Property of CISD
Title I Gym access will be granted by a CISD employee. A copy of the renter's driver's license is required upon request. Gym fee at this time is free until further notice. Form must be submitted within 24-48 hours of requested use. 
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Email *
Date Requested *
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Beginning Time  *
Time
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Ending Time *
Time
:
Renter's Name (FIRST + LAST) *
Address (MUST BE A CLARKSVILLE RESIDENT) *
Date of Birth *
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DD
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YYYY
Cell Phone *
Home Phone
Purpose of Use *
Number of People Expected *

I AND MY GROUP WILL ABIDE BY THE RULES AND REGULATIONS GOVERNING USE OF THE GYM. THEY INCLUDE : (check each box)

 *
Required
Additional rules may apply such as for tournaments or activities where residents outside of Clarksville, TX may be involved such as tournaments. All tournaments must complete an official CISD Contract with Mrs. Moore in the CMHS Office.
I UNDERSTAND THAT I AM RESPONSIBLE FOR MY GROUP/TEAM (INCLUDING SPECTATORS) AND THAT I AM RESPONSIBLE FOR ANY AND ALL DAMAGE TO THE GYM, BUILDING, OR SURROUNDING GROUNDS. I HAVE READ THE ABOVE STATED RULES AND REGULATIONS AND UNDERSTAND THAT OUR GROUP/TEAM WILL COMPLY WITH THE REGULATIONS, POLICIES, AND FEES GOVERNING USE OF THE FACILITY.Untitled Title
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A copy of your responses will be emailed to the address you provided.
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