HASTINGS AREA SCHOOL SYSTEM

REQUEST FOR BUILDING USE

(Must be received at least 10 days prior to the event)

Person Making Request: E-mail address:

Classification: ____ School program _____ School-Related group/Government groups _____ Commercial and private groups

____ Community groups (non-profit)/Civic and religious groups

Address: City: State: Zip: Name of Organization: Phone Number: Day Evening Fax Type of Event: Facility Requested:______

Date of Event: Number of Participants: Arrival Time: Departure Time:

FACILITY CAPACITY:

BUILDING / ROOM / CAPACITY
High School / Cafeteria / 350
Classroom / 26
Gymnasium / 2000
Lecture Hall / 375
Middle School / All Purpose Room / 150
Cafeteria/East Gym / 250
Classroom / 26
Gymnasium/West / 1200
Central / Auditorium / 1100

PLEASE NOTE SPECIAL REQUIREMENTS
Chairs (No. ) Sound System*

Press Box* Tables (No. )
Score Board* Trash Cans
TV/VCR

Other

(Specify:

)
*Not available in all facilities

Estimated labor fees include one half hour before and after the event. Utility fees and rental fees will be charged if appropriate. Actual cost will be invoiced following the event. A 2 hour labor fee will be charged if event is canceled less than 24 hours in advance.

I understand that I am responsible for the facilities and equipment used and the cost for cleaning, repair, or replacement if damage or loss results during the time of my use of the facilities. I have read Board of Education Regulation KG-R and agree to pay any added costs that may result from my use of school facilities.

Applicant Date

------OFFICE USE------

Group Classification Date Received

Custodial Hrs. of Event + 1 hr.= hrs. x $ =

Utilities Hrs. of Event x $7.50 Per Hour =

Rental =

Estimated Fees =

Approved by (Building Principal) Date

Approved by (Assistant Superintendent) Date

Permit # ______Notification date:______

Copies: Applicant, Building Principal and Custodial Office Revised: 03/15/05