Whitehall-Coplay School District

Request for use of facility

 

Person Initiating Request:    Date:

Organizations Legal Mailing Address: 

Home Phone Number:     Work Phone Number: 

Anyone requesting USE OF SCHOOL DISTRICT FACILITIES must complete this request form and submit it to Mr. Richard Legath, Supervisor of Buildings and Grounds, at the maintenance building at least 30 days prior to the event.

 

Organization: 

Date of Event:     Time (from):    Time (to): 

Nature of Event: 

Facilities Requested: 

Equipment/Furniture/Audio Visual Item Requested: 

 

Chaperones (if applicable): 

Are police needed:  yes  no        If yes - date contacted: 

***Organization is responsible for contacting and paying police

 

Approval - Are the facilities available and does the requesting group meet the criteria as per policy?  yes   no

Supervisor of Buildings and Grounds: 

 

Copies to:     Organization     District Office Billing Dept.     Supervisor of Buildings and Grounds

Building Principal     Custodial Supervisor

Athletic Director     District A/V Coordinator

*************PLEASE SEE BELOW GENERAL GUIDELINES FOR FACILITIES USE*************

GENERAL GUIDELINES FOR FACILITIES USE

·         All outside organizations buildings usage requires custodial coverage, with all fees for services as well as rent to be paid buy the organization under the terms of the approved facilities usage policy

·         The organization shall assume all responsibility and damage to school property, and shall assume full responsibility for all participants and spectators, and their orderly manner, under terms set forth by the school district.

·         Per the school board policy, no smoking is permitted on school property.

·         Building doors shall be unlocked for entrance at the listed time, provided a responsible individual is present to assume responsibility and control.

·         Custodial personnel shall not be responsible for participants/spectators.

·         Dependent upon the activity, the district may require you to employee security personnel, at the organizations expense.

·         All parked cars must adhere to the designated parking areas.  No cars will be allowed to be double-parked, and no parking will be allowed in the fire zones or in the grass.

·         If any cafeteria facilities are requested, such as kitchen or serving areas, the organization must contact Wayne Walp, the Food Services Director.  He can be reached at 610-437-5081 or 610-787-0961.  An itemized listing of the foods that need to be prepared must also accompany the request.  The use of the kitchen will require the use of cafeteria staff for which you will be charged time and a half of their hourly rate.

·         Any equipment, furniture or specific setups that are needed for an event must be noted on the request form at the time of the request.  Please make sure everything that is needed is on that form.  ANY ADDITIONAL ITEMS WILL NOT BE GRANTED ON THE DAY OF THE EVENT.

·         Also, any classrooms requested for an event must be left in the same condition they were at the start of the event.

Insurance: Certain events will necessitate the user to provide liability insurance coverage that names Whitehall-Coplay School District as additionally insured ($1,000,000 per occ)