Application For Use of School Facility

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This form is a digital version of the paper form used for reserving the school for use by the General Public. Please complete this form to the best of your ability. By submitting this form you implicitly accept the terms listed in this agreement.

Email *

Phone number: *

Townsend K-12 School District #1

201 North Spruce Street Townsend, MT 59644-2215

Organization requesting facility use:

Address of Organization: *

Facility requested :

$60 Full Day

$30 Half Day

N/A

BHS Stage Gym

1963 BHS Gym

K-8 (elementary) Gym

K-8 commons/learning stairs with kitchen

Clear selection

$30 Per Use

N/A

Community Room

Library Classroom

Clear selection

Other (please include location and price):

Please Select A Starting Date: *

YYYY

Please Select an Ending Date: (Select the same date if the event is on the same day) *

YYYY

The time listed below will be constant for the entire event. Note: If the event runs multiple days and the times are different for ending or starting on the second day, please contact the Facilities Use Coordinator (dcutshaw@townsend.k12.mt.us)

Event Starting Time: *

Time

Event Ending Time: *

Time

Please select which doors you would like unlocked during the event: *

Library Door

K-8 Commons & Kitchen Door

High School Main Door

Community Room Door

Weight Room Door

Other:

Required

Purpose of Use: *

Will there be an admission fee? If so how much?

Equipment or apparatus needed by user:

(Requesting group is responsible for the set-up and return to original location of items. i.e. chairs, overhead projectors, etc.)

Additional needs (if any):

Name of Organization Representative: *

The Townsend School District #1 encourages the use of its facilities by the public. However, it is a district policy to give priority to the student use of the facilities. In this request, the right to cancel a facilities use is reserved by the school district.

The use of the property shall be supervised by an adequate number of adult sponsors to assure proper care and use of the facility. It is agreed that all rules and regulations for the use of the facility will be complied with and that all damage to the building or its contents resulting from this use of the facility will be reimbursed to the district at the actual cost of repair or replacement including labor.

The undersigned organization, by signature of it' authorized representative, hereby guarantees that the organization shall indemnify, defend and hold harmless the Townsend K-12 School District #1 and any of its employees or agents from any and all liability, which are not the result of fraud, willful injury to a person or property or the willful or negligent violation of law by the school district, expenses, cost (including attorney fees), damages and /or losses arising out of injuries or death to any person or persons or damage to any property of any kind in connection with the organization's use of the aforementioned school facility.

Proof of insurance may be required IF REQUESTED by Townsend K-12 School District.

The undersigned further agrees to abide by non-discrimination clauses as contained in the Montana Human Rights Act and the Governmental Code of Fair Practices.

By submitting this form you are signing this form and agreeing to the terms listed in this agreement.

Electronic Signature :

Send me a copy of my responses.

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