Facilities Use Request Form
In addition to the form below, please submit the Hold Harmless Agreement linked on the previous page. You can print, complete, scan, and attach it to an email to robbin.garrett@harrisonvilleschools.org if you would like or you can bring/mail it to the Activities Office, 1504 E. Elm, Harrisonville, MO 64701.
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Date *
Your Name *
Group/Organization *
Contact Information (Address/Phone) *
Contact Email *
Facility/Area Requested *
Event/Purpose of Facility Use *
Date(s) Requested *
Time(s) Requested *
What time does your event start? *
Hrs
:
Min
:
Sec
Does your group include 50% or more Harrisonville Schools Students? *
Required
Will you be serving a meal or offering concessions for sale? *
If yes, do you require seating?(We can only provide tables with attached seats) *
Do you require long tables for buffet? *
If you  need long tables, how many?
Do you require use of the school kitchen? (Kitchen employee required. Charges apply) *
Do you require custodial assistance? *
List in detail the requirements for your event (include electronics/technology)
Additional Information
More Information
Review Board Policy online for details of Community Use of Facilities - section C-160-P. http://egs.edcounsel.law/harrisonville-cass-r-ix-school-district-policies/

Please submit a Certificate of Liability Insurance. Your request will not be processed unless we have this on file. You can mail/drop it off at Harrisonville High School, 1504 E. Elm, Harrisonville, MO 64701, Attn: Activities Department or email it to robbin.garrett@harrisonvilleschools.org

Questions? Please contact our Activities Office at 380-3273, ext. 6227.
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