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Facility Use Request Form

Required

Organization Details

Is this an internal or external request? (internal: school event, external: non-school event)required

Request Details

Must contain a date in M/D/YYYY format

Signatures and Agreements

Custodial agreementrequired

BY ELECTRONICALLY SIGNING BELOW, I RELEASE ANY RIGHT THAT I MAY HAVE ON BEHALF OF MYSELF AND/OR ANTENDEES TO BRING LEGAL ACTION OR ASSERT CLAIM FOR INJURY OR LOSS OF ANY KIND AGAINST STRASBURG SCHOOL DISTRICT 31J. IF ANY ATTEMPT FOR CLAIM IS MADE, I UNDERSTAND I MAY BE HELD RESPONSIBLE FOR ALL DEFENSE COSTS INCURRED BY STRASBURG SCHOOL DISTRICT 31J.

I HAVE HAD SUFFICIENT OPPORTUNITY TO READ THE ABOVE, BEEN GIVEN THE OPPORTUNITY TO ASK QUESTIONS, CONSIDER ITS EFFECTS, UNDERSTAND THIS ENTIRE DOCUMENT AND AGREE TO BE BOUND BY ITS TERMS. I further acknowledge that I am an official representative of the above organization and I am an authorized signer.

Electronic Signature of Requesteerequired
Must contain a date in M/D/YYYY format