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NOSD Facilities Use Form
This form is to be completed and submitted at least two weeks prior to the date for which use of facilities or equipment is being requested. Board policy concerning use of school facilities is to be read, understood, and complied with by the person(s)and/or group making the request.
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* Indicates required question
Email
*
Your email
Name of Organization
*
Your answer
Name of Contact
*
Your answer
Street Address of Contact
*
Your answer
Phone Number
*
Your answer
What specific area(s) at NOSD are being requested
*
Fine Arts Center
Innovation Room
OHS Conference Room
OHS Gym
OMS Gym
OES Gym
Wrestling Room
Atrium
Commons Gym
Warrior Flex Room
OHS Library
OMS Library
Library Conference Room
Steam Design Lab
OES Library
OES Power Lab
Required
Date(s) of Use
*
Your answer
Hours of Use
*
Your answer
Type of activity for which facility is being requested
*
Your answer
Will the service of any school personnel, custodians, cooks, teachers, etc., be expected or required?
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Yes
No
If so, specify needs here and understand that you will be charged for these services.
Your answer
Will any admission fee or charge be made
*
Yes
No
If yes, what is the admission fee?
Your answer
Will decorations be used?
*
Yes
No
If there will be decorations, please indicate what type
Your answer
Will refreshments be served?
*
Yes
No
If yes, what type of refreshments?
Your answer
If this request is for a weekend or time outside of normal working hours, the building will be locked. How will the building be opened and secured again? Check one:
*
Choose
Hire school personnel at $30 per hour
Member/friend of our organization who is a district employee will be present at activity
If member/friend was selected in the question above, please provide name and contact number for the individual.
Your answer
I acknowledge the terms of facilities use as stated in the document linked here:
Facilities Use Agreement
*
Choose
Yes
Please type name to acknowledge this statement:
I, the undersigned, will be present and in charge of this activity. I accept full responsibility for the care of school property and equipment, will supervise the conduct of those in attendance, will clean up at the conclusion of the activity, and will enforce all Board of Education policies pertaining to the use of school facilities and equipment (please see reverse). I further understand and agree to provide, if requested, a certificate of insurance naming the school district as an additional insured and naming me/my organization as the primary insured for this event/activity.
*
Your answer
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