Code No. 905.1E2
GRINNELL-NEWBURG COMMUNITY SCHOOL DISTRICT FACILITY RENTAL AGREEMENT
Agreement Date: ______________ Name of Organization/Group: _____________________________
User Category (check one): __Class A __Class B __Class C __Class D
Contact Person: ______________________________________ Contact Phone: _________________
Billing Address: ______________________________________________________________________
Rented Facility Space(s): _______________________________________________________________
Rental Date(s): _________________________________ Start Time: ________ End Time: _________
Fees:
Rental Space: Total Hours _________ x Hourly Rate ___________ = _____________________
Custodial Service: Total Hours _________ x Hourly Rate ___________ = _____________________
Event Supervisor: Total Hours _________ x Hourly Rate ___________ = _____________________
A/V Technician: Total Hours _________ x Hourly Rate ___________ = _____________________
Student A/V Tech: Total Hours _________ x Hourly Rate ___________ = _____________________
Kitchen Staff: Total Hours _________ x Hourly Rate ___________ = _____________________
Auditorium Equipment: ________________________________________ = ____________________
Other Equipment/Charges: _____________________________________ = ____________________
TOTAL FEE: = $____________________
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I have read board policy 905.1R1 Facility Use Guidelines and Rental Fee Schedule and agree to the guidelines, requirements, and responsibilities as stated? __Yes __No
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In addition, the undersigned agrees to hold the district harmless from all claims arising from the entity’s use, conduct, or management of facilities, grounds, or contents, including theft or damage to property. Undersigned further agrees to hold the district harmless from all costs, attorneys’ fees, expenses, and liabilities incurred in connection with such claims. __Yes __No
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Signature of Applicant Date
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Signature of District Official Date
Approved: 03-13-13
Reviewed: 07-11-18
Revised: 05-08-13
Grinnell-Newburg School District, Grinnell, IA