R-P Schools Online Facility Request

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It is highly recommended that you do not publish your event until you have received facility use approval.

Please also print out and read the Facility Use Policy located on our website www.r-pschools.com/.

Name of Applicant: *

Organization Name:

Address: *

City: *

State: *

Zip: *

Home Phone: *

Cell Phone:

Email: *

Under which category does your group qualify? *

If this is a non-school group, do you understand that there will be a fee associated with use of facility? *

Yes

I understand that the responsible party must have access to the building (key card, key, understand gym rules/use of equipment), must be in the area of the the event at all times, and must not leave the building until all persons have left. It is further understood that on weekends, the responsible party must be available to unlock doors and lock them after the event. *

Yes

I do not have access to the facilities and need a supervisor to be on site

Name of responsible party: *

Purpose of event: (be specific if a sport--i.e., 9th GR BBB practice, AWANA, JO Volleyball game etc.) *

Will admissions be charged and/or entry fees collected? *

Yes

Estimated Number of Persons Attending? *

List room number(s), Gym (HS or Elem/MS Gym), Commons or athletic fields being requested: *

Ball fields are only lined for games. You must specify game dates that you want the field(s) lined.

List all dates: *

Set up time if different than start time:

Event Start Time: *

Time

Event End Time: *

Time

Doors will UNLOCK 15 minutes before event/set up time and LOCK 30 minutes after the event BEGINS unless you indicate otherwise here:

I UNDERSTAND THAT I MUST BE AT THE BUILDING 15 MINUTES BEFORE THE EVENT: *

Yes

Which door would you need unlocked? *

Main doors

Early Childhood door

Northwest Entrance door: by locker rooms

Required

The district reserves the right to adjust the times the doors unlock and re-lock. Please check the times provided when you receive your reservation confirmation.

Take down time if different than end time:

Do you already have access to equipment or set up? *

Yes

If you need access to equipment or setup, how do you plan on getting access if not requesting it with this request?

List special requests: podium, microphone, additional chairs/tables, volleyball standards, nets, sports equipment etc.) Note: Additional fees may apply

All concession stands fall under the Food & Nutrition Department and must follow county health department rules. Therefore, no foods prepared at home shall be allowed to be served in the designated concession stands or designated kitchen families of the school district. Details can be found in Policy _____ Food From Home.

Will food be served at this event? *

Yes

If so, what type of foods will be served?

Where will the food be originally prepared? *

Not applicable because food will not be served

Foods prepared at home includes any food item prepared in any location other than the district Food & Nutrition facilities, and by anyone other than an approved professional vendor or a certified member of the district Food & Nutrition Staff.

Purchased from a vendor licensed to prepare and sell food items

Purchased from the R-P Schools Food Service

Will attendees be charged for the food? *

Yes

Not applicable because food will not be served

This application is made subject to the rules and regulations of the school district, and the undersigned hereby agree for themselves and all others for whom this application is made, that the same are accepted and will be observed. I have read the Rushford-Peterson Public Schools Guidelines for Community Use of Public School Facilities and agree to comply with the Conditions of Use. Note: Rooms/sites are to be left in the way you found them!! The school district reserves the right to cancel any permit.

I have read and accept all procedures, terms and conditions of this request form. *

Yes

Additional comments, information or questions:

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