Download Community - Building Use Forms

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File: KG-R
(Equal Access)
The Board encourages the community use of school premises. It is necessary, however, to ensure that such use
does not interfere with the regular school purposes, impose undue burden upon personnel or strain the limited
funds allotted for building services and maintenance; therefore, specific regulations have been established.
Conditions Governing Use of School Premises
1. Users must take reasonable steps to ensure orderly behavior and will be responsible for paying for all
damages associated with their use of the facility or equipment.
2. The District reserves the right to request payment of estimated fees in advance.
3. The use of tobacco is prohibited. All users are responsible for complying with this regulation.
4. Alcoholic beverages and controlled substances will not be permitted on district property at any time.
5. Decorations must be fireproof and are to be erected and taken down in a manner not destructive to
district property. Decorations are subject to the approval of the building administrator. The use of open
flames, such as candles, is permitted only with written permission from the fire marshal.
6. The user shall be fully responsible for all loss or damage to district property, including property of
students and employees.
7. Requests for district-owned equipment are not included in the direct or indirect costs and shall be
charged based on request and type of equipment.
8. The use of any materials on floors or other parts of the building is strictly prohibited without specific
approval in writing from the building administrator.
9. The use of stages, furniture and equipment must be arranged for in advance. Set-up and clean-up may
be performed by members of the group using the facility, provided the responsible persons are listed on
the application. Additional custodial services required for unsatisfactory work will be paid for by the
using group. Arrangements must be made with the building administrator for use of any special or extra
equipment. Extra compensation paid employees for moving, operating, or supervising special or extra
equipment will be charged to the using group.
10. Buildings will normally be open 30 minutes prior to the activity and for 30 minutes after its scheduled
end, unless other arrangements are requested on the application and approved.
11. Use during summer vacation, on holidays, or during other vacation periods shall not conflict with
building cleaning and renovating programs and will depend on the availability of building service
personnel for supervision.
12. No unauthorized methods for obtaining funds, including any form of gambling, is permitted in district
buildings or on district grounds.
13. A school custodian shall be on duty whenever a facility is being used except as exempted by the
principal. The custodian will render assistance in handling furniture and equipment and will be
responsible for seeing that the facility or facilities are left in good order after the activity is over. The
custodian’s overtime, including cleanup time, will be charged at the current hourly rate. Food service
personnel shall be required, in addition, when kitchen facilities are requested. In the event you do
not want to use the district kitchen facilities, and you want to serve a food item that may require
warming you are required to obtain a temporary food license, through the Ashland County
Department of Health. You will not be required to obtain a food license if you are serving
prepared purchased foods or items that do not need a maintained temperature for food service.
(Items such as canned drinks, candy bars, chips.) Any bake sale item must have an identification
tag stating the ingredients and the item was baked at home.
14. Responsibility for enforcement of rules and regulations concerning use of district facilities rests with the
user group and any infraction of the above regulations may be grounds for refusing to grant subsequent
requests for the use of district facilities.
15. Corridors, exits and stairways must be free of obstruction at all times. Exits are to be lighted when
facilities are in use. Members of audience or spectators must never stand or sit so they block exits,
stairways or aisle ways.
16. The District will not be responsible for any loss of valuables or personal property.
17. No flyers, booklets or other printed or audio-visual materials may be distributed unless they relate
directly to the activity for which the school facility is being used.
18. Non-marking gym shoes must be worn when using any gymnasium floor.
19. Playground facilities may not be used by any youth over the age of 13 nor shall any person be allowed
on the playground after dark.
20. Skateboards and other like equipment, which constitutes a safety hazard to students, shall
not be allowed on district premises at any time.
Supervision of Rented School Premises
Each group requesting the use of district facilities must use the services of a district custodian and must pay for
such services. Each group requesting the use of district facilities must indicate
an individual, satisfactory to the administrator in charge of the building, who will serve in a supervisory
capacity during the use of the district facilities.
If the supervisor, as designated above, is not satisfactory to the administrator in charge, the administrator shall
appoint a supervisor and the pay shall be charged to the sponsoring group. Supervisors are responsible for the
enforcement of all rules and procedures regarding the use of district facilities.
The custodian on duty is directed not to open the facility until the supervisor for the sponsoring group is on
All Black River District events take precedent over any outside groups or organizations events, therefore under
special circumstances your event(s) may be cancelled on a moments notice without notification depending on
need and/or immediacy. We will make an effort to contact you if a situation arises where we have to cancel. If
your event is cancelled a refund will be issued and every effort will be made to reschedule your event.
The applicant agrees to indemnify and hold harmless the school district from any liability for damages to any
person or property in or about the school district premises from any cause whatsoever. All persons or groups
using school facilities shall be responsible for the proper supervision, control and accommodation of persons
attending the activity. The applicant agrees to be responsible for the preservation of order.
Hourly rates
$80.00 + food service personnel
Music Room
Media Center
Stadium (day)
Stadium (night)
School Bus
$25.00 + $2.50 per mile
Bus Driver
Baseball and softball fields are free to residents. These should be reserved in advance. Permit holders are
financially responsible for damage done to any of the facilities.
(Approval date:)
(Equal Access)
 Adm. Office
 Athletics
 Principal
Administration Office Use Only
 Maintenance  Transportation
 Food Service
(All applications must be completed and turned in two weeks prior to use.)
Group or Individual Making Request: Name:
Requested Date(s) of Use:
Time of Event:
Time for Set Up:
Time for Clean Up:
Expected Attendance:
Building/Area Requested: Black River Educational Center:
Specific Area Being Requested:  Classrooms
 Auditorium
 Restrooms
 Parking Lot
 Media Center
Black River High School:
 Commons Cafeteria
 Gym  Football Field
 Band Room
 Baseball Field
 Kitchen
 Softball Field
(Building restrooms are not available for groups requesting to use outside areas.)
Equipment requested: (Please describe in detail, such as number of chairs, number and types of tables, movie projector, PA system,
Describe setup required, if other than normal:
Personnel Needed:
 Kitchen
 Custodial
Time Personnel Needed:
Please read the terms for the agreement and sign.
(No application will be processed that is not signed.)
Signature of Applicant
Athletic Facility/Area Use: Athletic Director’s Signature:
Other Facility/Area Use:
Building Principal’s Signature:
Superintendent’s Signature:
 Approved
 Denied
Cost for Use:
 No Charge
Total Cost: $
 Charge
Date Sent to buildings______________________
Charges will be determined by the schedule of charges and will be filled in by the Treasurer.
Fee schedules are available in all of the District offices.
Treasurer’s Signature:
File: KG-E
If food will be served either for concession purposes to make money, please list those food items:
Failure to provide a list of food items that will be sold, the organization will be required to pay for a kitchen
staff member to be present.
(Equal Access)
(Indemnitor) agrees to indemnify and HOLD HARMLESS the Board of Education and its agents and
employees from all liability, claims, demands, damages or costs for, or arising out of,
of indemnity) whether it be caused by the negligence of indemnitor or the Black River Local School District
Board of Education or either party’s agents or employees, or otherwise.