Agreement for Use of Glenwood School Facilities
Name of Organization/Group: __________________________________Date:__________Time: _______
Contact Person: _______________________________________Phone Number: ___________________
Facility to be used: _______________________Activity or Event: ________________________________
Community organizations and groups may request permission to use school facilities as outlined in school board policies. The Board policies are 1003.1, 1003.1R, 1003.2, 1003.3, 1003.4, and 1003.5.
Organization Class (reference – Board Policy 1003.3)
__Class A __Class B __Class C __Class D __Class E
Fees: (reference – Board Policy 1003.3)
Custodial Fees per hour
__Class A $0 (only if additional clean-up is necessary) $35.00 per hour
__Class B $35.00 per hour
__Class C $35.00 per hour
__Class D $35.00 per hour\
__Class E $0 (only if additional clean-up is necessary) $35.00 per hour
Auditorium per hour
__Class A $0.00 per hour
__Class B $0.00 per hour
__Class C $40.00 per hour
__Class D $60.00 per hour
__Class E $50.00 per event
________$35/ hour lights & sound for Auditorium (Additional)
Gymnasiums Per day(All Buildings)
__Class A $0.00 per day
__Class B $0.00 per day
__Class C $75.00 per day
__Class D $100.00 per day
__Class E $50.00 per event
Kitchen Use (all class groups)
__$50 less than 4 hours
__$100 more than 4 hours
__$35 per staff per hour** REQUIRED #_____
Athletic Fields Per day( No Lights)
__Class A $0.00 per day
__Class B $0.00 per day
__Class C $75.00 per day
__Class D $100.00 per day
__Class E $50.00 per event
________$25/ hour lights (Additional)
Use of Classroom/Cafeteria
__Class A $0.00 per day
__Class B $0.00 per day
__Class C $35.00 per day
__Class D $35.00 per day
__Class E $50.00 per event
Graduation/Event Party-Flate Rate (This includes custodial fees for up to 3 hours.) Custodial Fees will be charged $35 an hour after 3 hours.
__Class A $150.00 per day
__Class B $150.00 per day
__Class C $150.00 per day
__Class D $150.00 per day
__Class E $150.00 per day
***Use of the kitchen facilities needs to be scheduled through the Director of Food Services.
________ TOTAL AMOUNT
Please sign this form and provide proof of liability insurance (as needed) and return the top two copies with your $______ fee to the respective school’s main office.
__ Proof of Liability Insurance
______________________________________ ______________________________________
Signature of User Date Signature of Administrator
___ Approved ___ Disapproved Why Disapproved: _________________________________
____________________________________________________________________________________________
*Revised: 07/08/13
*Reviewed: 11/09/15
*Revised: 04/04/16
*Revised: 09/12/16
*Revised: 08/14/17
*Reviewed: 02/13/23
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