APS Application for Use of Facilities & Grounds

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Thank you for your interest in using the Auburn Public Schools Facilities/Fields. THIS FORM MUST BE COMPLETED IN FULL AND SUBMITTED AT LEASET TEN(10) DAYS PRIOR TO ANY EVENT. THE EVENT CANNOT BE HELD WITHOUT PRIOR APPROVAL OF THE SUPERINTENDENT. Please complete the requested information and we will contact you to confirm your request. You will also receive a summary of charges due.

Email *

Name of Organization *

Name or names of person(s) responsible for compliance with the Regulations Governing Use of APS Grounds & Facilities. *

Email address of person responsible for compliance with the Regulations Governing Use of APS Grounds & Facilities. *

Phone number of person responsible for compliance with the Regulations Governing Use of APS Grounds & Facilities. *

Address of Organization or Lead Person *

APS School being requested *

Auburn High School

Auburn Middle School

Swanson Road Intermediate School

Date(s) being requested, please enter month/day/year *

Enter Start Time *

Time

Enter End Time *

Time

Purpose of this event *

Number of people expected at the event *

Area(s) in the requested school to be used. *

Cafeteria-no kitchen use

AHS Presentation Room

Auditorium

Classroom

Parking Lot

Gymnasium

Tennis Courts

AHS Outdoor Basketball Courts

AHS Baseball Field

AHS Softball Field

AHS All Purpose Field

AHS Football Field and Track

AMS Football/Lacrosse Field

Required

If you are using the auditorium, please select below if lights or sound system are needed. *

Lights will be needed for this event

Sound system will be needed for this event

N/A

Will food be served at this event? *

Yes-A certificate from the Auburn Board of Health will be required on file with the APS

Will you require use of the internet? *

Yes

Are there specific set-up requirements? Please be specific.

I attest that all volunteers and workers will have completed CORI checks on file prior to the use of the facility. *

Yes

I attest that I will provide the school department with a certificate of insurance prior to the event. *

Yes

I confirm that I or a designee will be the CPR/AED trained representative for this use of facilities. *

Yes

Required

Please enter the first and last name of the CPR/AED designated person. *

I, as the official representative of the organization named above, have read the policy governing the use of school facilities and grounds, and I am empowered to guarantee that this organization will comply with it in full. I understand further that should the Policy not be adhered to, permission for further use of school grounds or facilities may be denied. I also understand that should the fields or grounds not be left in the condition in which they were found, a fee of $200, at minimum, and any amount determined as needed for repair to be assessed and will be due in full prior to any subsequent approvals. The building principal reserves the right to deny or rescind approval of a school facility use based on good cause. I have received a copy of the Auburn Public Schools Facilities Policy and understand the guidelines of this rental.

Yes

Clear selection

Enter the first and last name of person completing this form. Doing so confirms the attestation of all of the statements above. *

Enter the title of the person completing this form. *

Enter the phone number of the person completing this form. *

Enter the email address of the person completing this form. *

Submit

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