Facility Use Application for Elder Grove School
Please review the
gym use
and
school calendars
found on the website prior to requesting dates. Dates will be honored in the order received.
Monday–Friday the gyms are available 7-9 pm.
You will receive an email in response that will indicate which dates can be honored.
CONTACT INFORMATION
Date of Application:
-
Month
-
Day
Year
Date
Date of Event:
-
Month
-
Day
Year
Date
Name of Event:
Contact Person:
Street Address:
PO Box, Ste., or Apt. Number:
City:
State:
Please Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code:
Daytime Phone:
Evening Phone:
Fax Number:
Email Address:
Description of Function/Event:
Event Start Time:
Event End Time:
Please check the gym(s) you would like to use:
Elementary Gym
Middle School Gym
Once you submit this form, your dates will be confirmed via email or phone call. We will also need the
lease agreement
, a copy of the insurance policy, payment and the $10.00 key deposit to the Middle School Office. Please prearrange a time with Mr. Vergara prior to dropping these off at the office so that Mr. Vergara is available to review at that time. All rentals must be paid for in advance when meeting with Mr. Vergara and no refunds will be issued for dates that are not used.
Middle School Office Phone: 656-2893 ext. 515
Your Organization:
Please select one ( Refer to Policy 4330 ):
Please Select
Category 1
Category 2
Category 3
Submit
Should be Empty: