Facilities Use
Contract
Section A. [To be completed by the person making the Facilities
Use request (hereafter User). User signature in Section C will be
required only after the request has been approved.]
Organization requesting facility use: _____________________
Event date: Event Time: to Nature
or Purpose of event: _____________________
Requested area of facility (check all that will be used):
q Parking Lot
q Soccer Field
q Baseball Field
q Commons Area
q Gymnasium
q Kitchen
q Classroom(s) If so, please indicate which one(s)
q ______________________________
q ______________________________
q ______________________________
q ______________________________
User’s Name (Note – This person must remain on the premises
throughout the event): _____________________________
Email address: ____________________________
Home phone #: Work phone #: Cell phone
#: _____________
Secondary contact person: _______________
Phone #:__________
Revised 11/20__________ _____________
Projected number of guests:
Adults Children/Youth_______ - Ages to
Special equipment requests: ____
Custodial services and set up conditions requested: ____
________________________________________________________________________________________________________________________
Have you obtained a Certificate of Insurance that meets or
exceeds the requirements stipulated in the Faith Christian School Facilities
Use Policy?
______ Yes ______
No ______ Pending (Please
attach Certificate of Insurance to this Contract)
Section B. [To be completed by the
Faith Christian School Administrator.]
Name of FCS
Supervisor for the event: ___________________________________ _ __
Rental Fee: $__________ FCS Supervisor Fee: $__________
Facilities Deposit: $_________
Amount refunded and date: $_________________
Other Fees
(amount and type) $_________________________________________________________________________________________
Payment in full of all fees is due
at the time of contract approval.
Section C.
I agree to all of the terms
of this contract. In addition, I have
read the Faith Christian School Facilities Use Policy, and I understand and
agree to all of the terms listed therein.
_________________________________ __________________
User’s Signature Date
__________________________________ __________________