2022-23 Facility Use Application - Lester Prairie Schools

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This form is required to request use of school facilities and/or its equipment. No guarantees can be made if this form is not completed and submitted 10 days prior to the date you are requesting. Please fill in the blanks where your need arises.

Email *

Requested Date *

YYYY

Multiple Days Request (enter dates here)

Event Start Time *

Time

Event End Time *

Time

Location (Check all that apply) *

North Gym

South Gym

Batting Cage

Concession Stand

Commons

Fitness Room

Media Center

Music Room

Classroom

Stage

Other:

Required

Additional Requests (Check all that apply - List quantity under other)

Chairs

Tables

Extension Cords

TV monitor (for presentation)

LCD Projector

Microphone(s) - Gyms/Stage only

Sound Board - Gyms/Stage only

Light Board - Stage only

Podium

Other:

Group Making Request *

Purpose of this Request/Activity *

Estimated Number of Participants (List Adults & Youth Separately) *

Contact Person *

Phone # *

Email *

Please indicate how adequate supervision will be provided *

Bill To (Name and Address) - Fees may be assessed per the Facility Use Fee Schedule *

Signature of Applicant (Must be 21 years or older) - By typing my name below, I have read and agree to abide by all of the rules and guidelines listed in District Policy 902 - Use of School District Facilities and Equipment. I am aware that fees may be assessed and proof of insurance may be required. *

Date of Application *

YYYY

Send me a copy of my responses.

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