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ECASD Facility Use Request Form

Please complete the form below. Required fields marked *  Requests by outside organizations are not guaranteed due to possible use by school organizations/activities/athletic teams.  Please be aware that due to security purposes, weekend use of facilities by outside organizations will require a custodian to unlock and lock the facility.  Weekday use of facilities should end by 9:00pm.

Facility Requested - availability determined by Administration or Athletic Director.*
Answer Required
Will admission be charged?*
Answer Required
Please select which of the following services will be required (additional fees may be assessed for use of some equipment and custodial wages)
Answer Required
Select which best describes your organization*
Answer Required
Based on the District Guidelines, I request the board to waive rental fees (custodial fees cannot be waived)*
Answer Required

Policy 707 and attachments - Policy

Please read Policy 707 and attachments above: I have read Policy 707 and all attachments and agree to the rental terms outlined in the Rental Statement. *
Answer Required

Please read the two following attachments.  The Hold Harmless and Indemnification Agreement and License Agreement.  These forms will be mailed to you once your request has been approved by the School Board.  These forms must be completed and return to the District Office.  Failure to return completed forms will null and void the facility request.

 

Hold Harmless and Indemnification Agreement

 

License Agreement

Please email a copy of your Certificate of Insurance to Nancy Nocera at nnocera@ellwood.k12.pa.us*
Answer Required