Application for Permission to Use School Facilities

Application for the use of facilities must be made on Board approved “Facilities Usage” form at least 14 days ahead of time. Use of facilities by other than school groups will be restricted to such times that it will not conflict with school use of facilities.

Requested Building *
Other
Room/Area *
Event Dates *
Start Date (MM/DD/YY)
End Date (MM/DD/YY)
Days
  Sunday
  Monday
  Tuesday
  Wednesday
  Thursday
  Friday
  Saturday
Explanation/Details
Specific Date(s)
Time Entering Building (including setup) (HH:MM AM/PM) *
Activity/Event Time Start (HH:MM AM/PM) *
Activity/Event Time End (HH:MM AM/PM) *
Time Exiting Building (including tear-down/cleanup) (HH:MM AM/PM) *
Does your event warrant setting up the night before? *
Name of Organization *
Type of Activity *
Category (Click for descriptions) *
Anticipated Attendance *
Supervisor *
Supervisor Phone (xxx-xxx-xxxx) *
Will you charge admission
Admission Charge Amount
Purpose of Proceeds
Indicate any additional needs, as only those noted can be provided
Name of Person Filing Application *
Do you have an Email Address where we can contact you? *
Email Address *
Address *
City *
State
Zip *
Home Phone (xxx-xxx-xxxx) *
Alternate Phone (xxx-xxx-xxxx)
Comments
ALL School property has been designated as a NO SMOKING complex by the Board of Education.

SCHOOL SPONSORED ACTIVITIES HAVE FIRST PRIORITY. THE USE OF SCHOOL FACILITY BY GROUPS MAY BE CANCELLED AS SCHOOL SPONSORED ACTIVITIES ARISE
Submitting this form does not guarantee approval. Request is pending until you receive an approval confirmation via email or by USPS. If you have any questions, contact Donna Randall at (810) 395-4074.
I understand that Capac Community Schools assumes no responsibility or liability for injuries/illnesses to any participant. I further understand that I hold Capac Community Schools, its officers, agents, employees, and volunteers harmless from any and all liability or claims which may arise out of participation in the following event(s). I also understand that I may be held responsible for any damage to the school building and or its equipment.
By clicking submit I understand and agree to all terms and conditions *