Facilities Use Application
Name of Organization
*
Type of Activity Proposed
*
Specific Room(s) or Area for which application is made
*
Date(s) Facility is desired
*
Time requested:
*
Not before
and not later than
Will Admission be charged?
*
Will Admission be charged?
*
Yes
No
If Admission is being charged, what amount?
*
President of Organization
*
Name
Street Address
City, State
Person in Charge of Activity
*
Name
Street Address
City, State
Telephone/cell phone
Email
Number of Persons Expected to Attend
Please fax a roster, if one is available.
Furniture or Equipment Requested
Please be specific.
Special Permission for:
Decorating
Scenery
Piano
Microphone
Other, please specify
Certificate of Insurance has been submitted to the Main Office
Certificate of Insurance has been submitted to the Main Office
Yes
No
The organization agrees to comply with the regulations for Use of School Facilities established by the Sea Girt Board of Education and to be responsible for any damage thereto. The organization president and individual in charge of the activity have read and will comply with the regulations.
*
The organization agrees to comply with the regulations for Use of School Facilities established by the Sea Girt Board of Education and to be responsible for any damage thereto. The organization president and individual in charge of the activity have read and will comply with the regulations.
*
Yes
No