Sports Facility Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is to be used when reserving a district facility sporting area. Please allow 48 hours for this to be approved and posted on the calendar.

Email *

Title of the event: *

Name of Coach(s)/Coordinator: *

Phone number of Coach(s)/Event Coordinator: *

If you have a district sponsor helping with your event, please list their name and phone # (cell or school extension) here:

Preferred start date of event.

We will do our best to keep that date and time for you, but please understand that school-related events take priority. If there is a conflict, you will be notified as soon as possible to reschedule.

Preferred end date of event. *

If this is a reoccurring event, provide the details:

If the District is closed due to inclement weather, your event will most likely be cancelled for that day. *

I have read the above statement.

Required

What time do you need to arrive? What time does the event actually start? *

What time does the event end? When do you expect to depart the area? *

IF NOT A SPORTING EVENT: A short description of what the event is for

Tell us the details of what you are needing to use the facility/area for including what you would like setup for you:

Type of sport *

Facility Choice *

Area of Facility Requested *

Number of People Expected to Attend (Parents, Family and Participants) *

You and your Sponsor are responsible for keeping your guests in the area you have reserved for your event. *

I understand and agree to the expectation

Required

Age/Grade Range of Participants/Team *

Proof of Insurance for Team *

yes

pending

If you have more than 25 members, you may need to provide us with a copy of your insurance. *

I have read the above statement

Required

You are responsible for any damages that occur (by players or spectators) during the time you have it reserved. *

I have read the above statement regarding the District's expectations.

Required

Should damages occur, your use could become restricted or prohibited. *

I have read the above statement regarding the District's expectations.

Required

Hold Harmless Agreement

Please read the statement below and add your signature/name and the date in the area provided below.

Hold Harmless Agreement:

Please read the statement below and add your initials in the area provided below.

We, the undersigned, hereby makes application to the Camdenton R-III School District for the use of school premises and certifies that the information given above is correct. The applicant will exercise the utmost care in the use of school premises and property and will be held responsible should any damage occur from the applicant's use of said premises and property. We hereby agree to defend, indemnify and hold harmless the Camdenton R-III School District, Board Members, Administrators, Teachers, Employees, Volunteers, and Agents from and against any/all liabilities, claims, damages, penalties, actions, suits, losses, costs, and expenses arising out of connection with the use of said premises. This agreement to defend, indemnify and hold harmless specifically includes all claims arising out of any accident or other occurrence on or about said premises causing injury to any person or property. The undersigned has read and is in agreement with the rules/regulations for the building/facility.

(Please initial below)

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Camdenton R-III School District. Report Abuse

Forms