Facilities

Summer School - Facilities

Today's Date:*
MM slash DD slash YYYY
First Day and Date(s) of Use:*
Building/Site/Field to be Used:*
Group Requesting Use:*
Person In Charge:*
First Last
Phone:*
Alt. Phone:
Address*
Street Address City State ZIP Code
Email:*
Fax #:
Invoice To:
First Last
(Include name and address if different than person in charge)
Purpose of Rental Activity:
Set Up Time:*

: Hours

Minutes

AM/PM
Clean Up Time:*

: Hours

Minutes

AM/PM
Start Time:*

: Hours

Minutes

AM/PM
End Time:*

: Hours

Minutes

AM/PM
Will you be selling concessions/other?*
- Yes, we will be selling concessions/other.
- No, we will not be selling anything. It is agreed that the facilities use requested would be accompanied by a hold harmless clause and would be used in accordance with the School District Policies 7510, 7510.01, and Facilities Use Fees and that applicable charges will be paid within thirty days of approval. The district reserves the right to request residency verification from any/all groups/participants. Preference will be given to those groups/participants that are a majority of Raymond District residents. By signing this application you agree to all the rules and regulations that apply.
If you answered Yes, please specify:
Date:*
MM slash DD slash YYYY
Signature of the Requestor:*
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Phone
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