Clarinda Community Schools
Facility Request Form

User's Name: _____________________________________    Date:__________________

Phone:________________      Email:___________________

Date Requested:_________________

Facility Requested:__________________   Food/Beverage Sales:  Yes    No

Doors Unlocked: ________ AM/PM     Until:__________ AM/PM

Special Needs:

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                                             (Below Info Filled Out by Administration)

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The reserving organization agrees to abide by the following instructions:

1. The area of the facility used will be cleaned by the User.
2. The use of tobacco or consumption of alcohol is prohibited on school property.  Food and beverages are not allowed in certain areas of the building.  All food and beverage sales shall be approved prior to signing the agreement.
3. Weapons of any sort are prohibited on school property.  
4. The School administration has the right to refuse or revoke the reservation of the building.

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Please see Policy 905.1R3 Fee Schedule

Rental Fee:________    +  Personnel Fee:______ = Total Fee_________

CLARINDA COMMUNITY SCHOOL DISTRICT
FACILITY USE AGREEMENT

The undersigned (hereafter referred to as User) agrees:

1. The User has received a copy of the Clarinda Community School District’s (hereafter District) policies for use of the District’s facilities (reference board policy 905.1).
2. The User has read, understands, and agrees to abide by the rules for use of the District’s facilities.
3. The User agrees if the User fails to abide by the District’s policies for use of the District’s facilities, the User will be responsible for any damage to the District’s facilities, property, and/or contents.
4. The User agrees the User violates the rules of use of the District’s facilities and/or the District’s facility use agreement, the User’s use of the District’s facilities may be ended immediately and the User may not be permitted to use the District’s facilities in the future.

To the fullest extent permitted by law, the User agrees to protect, defend, indemnify, and hold harmless the District and its officers, employees, or agents from any and all claims, damages, losses, and expenses, including, but not limited to, attorney fees, occasioned by, arising out of, or resulting from any accident or other occurrence causing or inflicting injury or damage to any person or property, happening or done in, upon, or about the District’s premises, or due directly or indirectly to the use or occupancy of the District’s premises or any part thereof by the User or any person claiming through or under the User.

____ Liability Insurance Provided
 

____________________________________________________________________________
Name of Individual, Organization, and Title
(Please Print)

____________________________________________________________________________
Signature

___________________________
Date

*Adopted:  

1.      Alcoholic beverages will not be brought to or consumed on school grounds.

2.      Tobacco use is prohibited in school district facilities and on school district grounds, including in private vehicles.

3.      A school district employee must be present while the school district facility or equipment is being used by an entity.

4.      After a school district facility, site, or equipment has been used by an entity, cleaning, including restoring the facility, site or equipment to the condition it was in prior to its use, will be done by employees assisted by a committee from the entity.  The fee charged to the entity for the use of the facility, site, or equipment will include these costs.  However, if excessive costs are involved in cleaning or otherwise restoring the facility, site, or equipment to the condition it was in prior to its use, the board reserves the right to charge the entity for these excessive costs. 

5.      Entities are required to stay within the area of the school district facility or site and use only the school district equipment authorized by the school district for use by the entity.  Other school district facilities, sites, or areas in the school district building or equipment are off limits to the entity.

6.      A cancellation after the facility or equipment is made ready for the entity will be charged at the full rate.  Cancellations made prior to that time will be charged a minimum cancellation fee or the costs incurred to the school district in anticipation of the entity's use, whichever is greater.

The following Fee Schedule shall serve as a guide to determine the appropriate fee for use of district facilities.  The superintendent has the discretion to waive, set, and access fees for requests that do not fall into a specific class.

Class A
Groups classified as Class A are exempt from all rental fees.  They are also exempt from personnel fees for events that are scheduled within normal hours of operation.  They shall be charged for personnel fees for events that occur outside normal hours of operation. The Superintendent or designee will determine the rate of additional charges if necessary.

Class B
Groups classified as Class B are exempt from all rental fees but will be charged for necessary personnel fees.  The Superintendent or designee will determine the rate of additional charges if necessary.

Class C
Groups classified as Class C shall be charged rental and personnel fees.  The Superintendent or designee will determine the rate of additional charges if necessary.

Class D
Groups classified as Class D shall be charged rental and personnel fees.  The Superintendent or designee will determine the rate of additional charges if necessary.

Personnel fees shall be a minimum of two (2) hours for each event.

*Exemption applies to events held during normal hours of operation.  The standard personnel fee ($30 per hour) shall be charged for events held outside of normal hours of operation.  

High School Auditorium

1.  When used by a non-school related organization for the purpose of giving some show or entertainment where collections or admission charges are made, the fee shall be $200.00.  This fee includes one dress rehearsal, necessary preparations and basic equipment for sound and lighting.  In addition, the cost of custodial help will be paid by the organization.  If additional rehearsals are required, a fee of $30.00 an hour will be charged.

$200.00 per event + $30.00 (Class B), $40.00 (Class C), $50.00 (Class D)  an hour custodial fee

$30.00 an hour additional rehearsal time

2.  When used by a local educational, civic, religious, patriotic, or service organization where no admission is charged or collection taken, and the performance is of such a nature that it will be of a definite educational, civic, or patriotic value to the entire community, a fee for custodial time will be charged, including set-up time, performance time, and clean-up time.

$30.00(Class B), $40.00 (Class C), $50.00 (Class D) an hour custodial fee

3.  The District will furnish a basic sound system and general house lighting for any group using the auditorium.

4.  Groups wanting to use the sound system lights panel in the auditorium will be assessed a fee for trained personnel to operate the units.

Gymnasiums

1.  When any non-school related organization wishes to use the gymnasiums and admission is charged, the fee will be $200.00 per event.  In addition, a custodial fee will be assessed.

$200.00 per event $30.00(Class B), $40.00 (Class C), $50.00 (Class D) an hour custodial fee

Athletic Field

1.  When any non-school related organization wishes to use an athletic field and admission is charged, the fee may be $200.00 per event.  There will be an additional custodial fee.

$200.00 per event + $30.00(Class B), $40.00 (Class C), $50.00 (Class D) an hour custodial fee

2.  When any non-school related individuals or groups wish to use an athletic field and no admission fee is charged, there will be no charge unless lights are used.  If lights are used, the fee will be $75.00.