Garfield Re-2 Policies

KF-E 1

Use of School Facilities Contract/Request

I (We) the undersigned, represent the (organization/individual name)

 

____________________________________________________________________________________

 

Address________________________________________________ Phone_______________________

 

and do request the use of (room/area)_____________________________________________________

 

at (facility______________________________ on the following date(s)___________ to______________

 

from (times)__________ to ____________, for the purpose of__________________________________

 

____________________________________________________________________________________

 

(Area below for office use only)

Section 1 Category Selection

1. Does the organization/individual belong to Category 1? (yes/no)_____If yes, go to Section 2_______

2. Is the organization/individual community-based or does it serve school-aged children?         _______

(yes/no)

3. Does the organization/individual have non-profit status? (yes/no)           _______

4. Does the organization/individual charge a fee for their event? (yes/no)           _______

5. Does the instructor(s)/supervisor(s) receive payment for involvement in the event?

(yes/no)           _______

*If the answer for #2 and 3 above are “yes” and #4 and 5 are “no”, then they are considered

        Category 2          _______

**All other organizations/individuals fall under                                                     Category 3          _______

 

GO TO SECTION 2

Section 2 Fee Calculation

Check one category

 

______________Category 1 No fee – Go to Section 3    _________

______________Category 2  Attendant fee(s) _______ # of hour(s) x $5.00=  _________

______________Category 3   __________

 

                                  Attendant fee(s)_____________ # of hour(s) x $30.00 = A:_________

                                   Custodial ______________ # of hour(s) x $30.00 = B:_________

                                  Cook ______________ # of hour(s) x $30.00 = C:_________

                            Room/area(s) rates $__________x_________ # of days= D:_________

                                Additional hours_________x $________________ = E:_________

 

                                   Total to be paid (estimate only) ____________

                                     

GO TO SECTION 3

Issued:       September 25, 2007

Reviewed:  April 23, 2019
 

Garfield School District No. Re-2, Rifle, Colorado