Seaford School District Facility and/or Equipment Rental Request

Name of organization:*

Answer required for "Name of organization:"

Contact person (contact person will be responsible for financial obligations and adherence of policies and regulations):*

Answer required for "Contact person (contact person will be responsible for financial obligations and adherence of policies and regulations):"

Phone:*

Answer required for "Phone:"

Email:*

Answer required for "Email:"

Event name:*

Answer required for "Event name:"

Description of event:*

Answer required for "Description of event:"

Date of Event*

mm/dd/yyyy

Answer required for "Date of Event"

Event set-up time:*

Answer required for "Event set-up time:"

Event clean up time:*

Answer required for "Event clean up time:"

Actual event start time:*

Answer required for "Actual event start time:"

Actual event end time: *

Answer required for "Actual event end time: "

Additional amount of time needed for requestor's cleanup responsibilities and time facility/equipment will be vacated after the event takes place (i.e. 30 minutes, 9:00 p.m.):*

Answer required for "Additional amount of time needed for requestor's cleanup responsibilities and time facility/equipment will be vacated after the event takes place (i.e. 30 minutes, 9:00 p.m.):"

Number of attendees anticipated:*

Answer required for "Number of attendees anticipated:"

Seaford Middle School

Answer required for "Seaford Middle School"

Cafeteria

Classroom (specify under additional information which classroom)

Gym (Prettyman)

Gym (small)

Media Center

Parking Lot

Other (specify under additional information)

Auditorium

Blades Elementary School

Answer required for "Blades Elementary School"

Classroom (specify under additional information which classroom)

Cafeteria

Gym

Media Center

Parking Lot

Other (specify under additional information)

Central Elementary School

Answer required for "Central Elementary School"

Auditorium

Cafeteria

Classroom (specify under additional information which classroom)

Courtyard

Gym

Media Center

Parking Lot

Other (specify under additional information)

Frederick Douglass Elementary School

Answer required for "Frederick Douglass Elementary School"

Cafeteria

Classroom (specify under additional information which classroom)

Gym

Media Center

Parking Lot

Other (specify under additional information)

West Seaford Elementary School

Answer required for "West Seaford Elementary School "

Cafeteria

Classroom (specify under additional information which classroom)

Courtyard

Gym

Media Center

Parking Lot

Other (specify under additional information)

Additional information:

Answer required for "Additional information:"

Equipment request (i.e., podium, tables, chairs, lights and sound, microphone, internet access, etc.):

Answer required for "Equipment request (i.e., podium, tables, chairs, lights and sound, microphone, internet access, etc.):"

As the contact person I have read and understand the Seaford School District policies and regulations.*

Answer required for "As the contact person I have read and understand the Seaford School District policies and regulations."

Yes

It is understood that the above named organization and contact person will adhere to all applicable facility and/or equipment rental policies and procedures. Furthermore, the named organization and contact person will be responsible for personal liabilities and property damages to the facility/equipment. A copy of Certificate of Liability Insurance is required. The Certificate of Liability Insurance must be submitted no later than 10 business days prior to the actual event. Certificates can be uploaded with this request or emailed to [email protected]

Answer required for "It is understood that the above named organization and contact person will adhere to all applicable facility and/or equipment rental policies and procedures. Furthermore, the named organization and contact person will be responsible for personal liabilities and property damages to the facility/equipment. A copy of Certificate of Liability Insurance is required. The Certificate of Liability Insurance must be submitted no later than 10 business days prior to the actual event. Certificates can be uploaded with this request or emailed to [email protected]"

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Seaford School District Facility and/or Equipment Rental Request