Public Communications

Building Use Request Form

Application and Agreement Form for Use of School Property

Name of School Property Location Requested    


ORGANIZATION/PRIMARY CONTACT PERSON REQUESTING USAGE:

Name of Requesting Organization:    Name of Individual in Charge:   

Primary Phone Number:     Primary Email address: 


Area Requested for Use: LibraryGymnasiumCafeteriaAuditoriumClassroomOther (please specify): 

Nature of Use (please be as specific as possible):  

  Date(s) requested for use     Time:   From:      To:     

THE FOLLOWING REGULATIONS ARE UNDERSTOOD AND AGREED UPON:

1. Applicant must inform the building principal of the meeting to be conducted via the Application and Agreement Form for Use of School Property found on the Tiverton Public School website. No meeting of any kind shall be held in any Tiverton Public School without written approval having been obtained from the principle of the school.

2. No smoking, no vaping, no alcoholic beverages, and no use of controlled or illegal substance(s) rules are to be observed at all times and in and around all Tiverton Public School property.

3. Meetings other than school meetings are not open to children under 16 years of age unless accompanied by an adult at all times.

4. Building use shall include only the occupancy in use of the hall in areas designated by this contract and the closest set of lavatories to the approved area. No other portion of the school building is to be included in this contract.

5. The custodial fee is required if the requested date and time of use is during a span of time in which the school department does not have a custodian on duty. It is the sole responsibility of the listed point of contact for the organization applying for use to provide payment prior to the date(s) of approved usage.

6. Organizations shall be responsible for the good conduct of all persons present. There shall be no defacing or misuse of property and no marking or erasing of blackboards. Organizations contracting for school property shall be financially responsible for any damage.

7. All but personnel authorized by the Tiverton School Department are prohibited from handling any utility connections such as heat and light.

8. All but personnel authorized by the Tiverton School Department are prohibited from transporting, setting up, and/or operating school equipment.

9. Remittance for services rendered by the Tiverton School Department/authorized personnel in connection with use of school facilities and/or equipment is to be made payable to Tiverton School Department.

10. The Tiverton School Department shall not be held responsible for any liability resulting from personal injury suffered during use of school facility or equipment. Proof of current insurance is required.

11. Supervision is to be provided as listed herein with responsibility for complete and thorough policing of entire school area.

12. Organizations, upon notice, may be requested to relinquish the use of school facilities on any given date for the purpose of Tiverton School Department needs.

BY SELECTING 'SUBMIT' BELOW, YOU ARE CONFIRMING THAT YOU HAVE READ THE ABOVE REGULATIONS AND AGREE TO THEM IN EVERY PARTICULAR.

Type your full name to act as your written signature here: 

 



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