Application for use of School Facilities

HOBOKEN BOARD OF EDUCATION

APPLICATION FOR USE OF FACILITIES

Name of Organization:

Street Address:

City:

State:

Zip:

Executive Officer of Organization:

Phone:

Email:

Designee Name *(if different from above):

Designee Phone *(if different from above):

Designee Email *(if different from above contact):

EVENT INFORMATION – FLAT FEE: $135.00/HOUR

Requested Facility (First Choice):

Requested Facility (Second Choice):

Purpose of Request:

Anticipated Attendance:

Date(s) Requested:

Admittance Fee:

Hours Requested:

* PAYMENT TO BE MADE IN FULL BEFORE DAY OF EVENT

APPLICATIONS MADE DURING THE SUMMER FOR FALL OR WINTER DATES WILL NOT BE CONSIDERED UNTIL AFTER ALL DISTRICT SPORTS SCHEDULES HAVE BEEN CONFIRMED.

NOTICE TO APPLICANT

By submission of this document It is hereby understood and agreed that, if this application is granted the undersigned will assume all and exclusive responsibility for the preservation of order and the sole and exclusive liability for any injury to persons, and any damages to, or loss of property that may result from this use; and for the observance of all regulations and procedures of the Hoboken Board of Education as defined in the Board of Education Use of Facilities Policy 7510 and Use of Facilities Regulation 7510

I Agree

By checking this box, the applicant acknowledges his/her agreement to the terms above.

Signer's Name

Security Measure