The undersigned entity makes application for the use of the school district facility or equipment as designated below.  The entity will provide security at its own expense, if necessary, to maintain order and to properly protect the facility or equipment.  Security is required when admission is charged.

Please refer to Policy 905.1 to determine the proper use of school district facilities and equipment.  The entity is responsible for complying with the law, board policy, and the administrative regulations.

The entity must provide an Indemnity and Liability Insurance Agreement, Code No.  905.1E2, prior to the use of school district facilities or equipment.

 

Building/Site/Equipment		Date
Purpose		Hours

 

Auditorium			Gymnasium
Seating requirements on stage			Seating		Scoreboard
Tables required on stage			Public address system
Stage curtain and attendant			Matron
Spotlights
Microphones			Classroom
Podium Stand			ICN
Table		Stand in audience			Computer lab
Other equipment			Other

 

                                                                                                                                                                                                                                                              Swimming Pool

 

Total Fee $                                                               

 

Name of entity making application:
Name of person making application:
Address:		Phone #:

 

 

(Signature of Applicant)		(Date)

 

The undersigned, hereafter referred to as entity, states that it will hold the Graettinger-Terril Community School District, hereafter referred to as school district, its board of directors, individual board members, employees, officers, agents, and representatives harmless from any and all damages and claims that may arise out of the entity’s use of any facilities or equipment owned by the school district.  In case any action is brought therefore against the school district, its board of directors, individual board members, employees, officers, agents or representatives, the entity will assume full responsibility for the legal defense thereof, and upon its failure to do so on proper notice, the school district reserves the right to defend such action and to charge all costs, including attorney fees, to the entity.

The entity agrees to furnish and maintain during the usage of the facilities or equipment owned by the school district such bodily injury and property damage liability insurance as will protect the entity and the school district from claims for damages for personal injury, including accidental death, and from claims for property damages which may arise from the entity's use of the school district's facilities or equipment whether such operations be by the entity or by anyone directly or indirectly employed by the entity.  Such insurance will include the Graettinger-Terril Community School District as an additional named insured in the policy carried by the entity and described above.

The entity will furnish the school district with a certificate of insurance acceptable to the school district's insurance carrier before the contract is issued.

 

Dated at                                , Iowa, this               day of                         , 20       .

 

	School District
(Entity)

 

By			By
				Superintendent
Title
			By
Address				Secretary

 

1.      Alcoholic beverages will not be brought to or consumed in school district facilities and on school district grounds.

2.      The use of tobacco and nicotine products are prohibited in school district facilities and school district grounds, including in private vehicles parked on school
         district grounds.

3.      A school district employee must be present while the school district facility or equipment is being used by an entity.

4.      After a school district facility or equipment has been used by an entity, cleaning, including restoring the facility or equipment to the condition it was in prior to its use, will be done by school district employees assisted by representatives from the entity.  The fee charged to the entity for the use of the facility or equipment will include these costs.  However, if excessive costs are involved in cleaning or otherwise restoring the facility or equipment to the condition it was in prior to its use, the board reserves the right to charge the entity for these excessive costs. 

5.      Entities are required to stay within the area of the school district facility and use only the school district equipment authorized by the school district for use by the entity.  Other school district facilities or areas in the school district building or equipment are off limits to the entity.

6.      A cancellation after the facility or equipment is made ready for the entity will be charged at the full rate.  Cancellations made prior to that time will be charged a minimum cancellation fee or the costs incurred to the school district in anticipation of the entity's use, whichever is greater.

7.      School district sponsored activities will always have priority over use of school district facilities and equipment requested by entities.

 

Rates for Use of Buildings and Sites
Elementary school gym (first two hours)		$100
Elementary school gym with kitchen (first two hours)		$200
Middle school gym (first two hours)		$100
Middle school kitchen and lunch room (two hours)		$200
High school gym (two hours)		$100
High school lunch room		$100
Add to above:
For each additional hour or fraction thereof		$25
Custodial charges		Actual
Buildings, Rooms, and Site are to be returned to original condition when finished.

 

In addition to paying the above fees, each entity must make arrangements with the school district to have adequate custodial and supervisory services.  Buildings will not be available unless a contract is signed by the entity and the school district well in advance of scheduled usage.

 

Rates for Use of Equipment
Sound System		$50/event
Chairs and/or tables for meetings		$50/event