905.1E1- Use of School Facilities Application Form

1.   Requests for the use of school facilities should be made and approved by the Superintendent at least one week in advance. 
      Organizations wanting to rent or use the building must be from within the school district.

2.   In all cases of use by groups other than the district, that group is responsible for providing supervision of a responsible nature, having proper insurance, and accepting responsibility for any damage to the physical or field facilities which may occur.

3.   The Board of Education and administration shall not be responsible for any articles of clothing, equipment or money that is left in rooms, closets, lockers or other areas of the building.  The board further will not be responsible for any article borrowed or voluntarily loaned to the district, its employees, agents or pupils, unless the borrowing or loan be specifically approved by the superintendent or the board.

4.   School activities will take precedence if a conflict arises.

5.   Facilities are to be left in as good a condition as before being used.

      a.   Floors swept and wet mopped when food and/or beverages dispensed.

      b.   Equipment used should be replaced and cleaned if necessary.

      c.   Lights turned off and all doors checked and locked when leaving.

      d.   Any refuse, garbage, etc. should be disposed of as per instructions from custodian.

      e.   No smoking or alcoholic beverages in the buildings or anywhere on the school

            grounds.

      f.    No street shoes will be allowed on the gym floor, unless authorized by the Board of Education or administration.   

6.   Should use of school facilities require extra working hours, the user will pay the school district according to the employees over-time rate.  The school will reimburse the employee accordingly. (ie. Custodial Fee)

7.   Facility Usage will require a security deposit of $50.  Cost accrued to the District beyond the rental fee may be taken from the security deposit.  Should the user complete the rental agreement without addition fees, the security deposit will be returned in its entirety.

8.   Facility Usage will require a fee of $5 per hour, not to exceed $50 per use.

9.   Requests of equipment with facility rental (ie. tables, chairs, balls, extension cords) will require a minimum charge of $10 per use.  The user is responsible for the cost of replacement if items are lost or damaged.

10. Requests of equipment without facility rental (equipment only) requires a minimum fee of $10 per use.

 

 

STATEMENT OF ASSURANCE

 

The undersigned applicant makes application for the use of the school building designated below.  Please refer to Policy 905.1 to determine the proper use of school facilities.  The applicant is responsible for enforcing these regulations.

The undersigned, hereafter referred to as "organization," states that it shall hold the Janesville Consolidated School District, hereafter referred to as "district," harmless from any and all damages and claims that may arise by reason of any negligence on the part of the organization or the district, and its officers, employees or agents, in the use by the organization of any facilities owned by the district.  In case any action is brought therefore against the district or any of its officers, employees or agents, the organization shall assume full responsibility for the legal defense thereof, and upon its failure to do so on proper notice, the district reserves the right to defend such action and to charge all costs, including attorneys' fees, to the organization.

 

Organization making application: ______________________________________________________

 

Person making application: _____________________________________              Date:______________

 

School Facility &/or Equipment Used: _________________________________________________

 

Purpose: ____________________________________________________________________________

 

Date: ______________________________         Hours: _______________________________________

 

I have read the policy Community Use of School District Buildings & Sites & Equipment” and, as the person responsible for the group, agree to abide by the policies as stated.  I realize failure to abide by the policies may result in suspension of facility use privileges.

 

_____________________________________________        ______________________
Signature of applicant                                                                     Date

 

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - -

 

Deposit $______    Facility Fee $_______     Custodial Fee $__________

 

Approved_____     Not Approved _____                       _______________________________________
                                                                                                     Superintendent’s Signature

 

                                                                                                    _______________________________________
                                                                                                     Athletic Director Signature

                                                                       

                                                                                                    _______________________________________
                                                                                                     Facilities Signature

                                                         

                                                                                                    _______________________________________
                                                                                                     Business Office(Keeps Original)

 

Fee is due when the above request is made.

After action taken, a copy will be returned to the applicant.

 

 

Approved   4/12/93      
Reviewed 12/13/21        
Revised 12/12/11