Seaford School District Facility and/or Equipment Rental Request

Name of organization:*

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

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Phone:*

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Email:*

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Event name:*

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Description of event:*

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Date of Event*

mm/dd/yyyy

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Event set-up time:*

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Event clean up time:*

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Actual event start time:*

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Actual event end time: *

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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.):*

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Number of attendees anticipated:*

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Seaford Middle School

Answer Required

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

Classroom (specify under additional information which classroom)

Cafeteria

Gym

Media Center

Parking Lot

Other (specify under additional information)

Central Elementary School

Answer Required

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

Cafeteria

Classroom (specify under additional information which classroom)

Gym

Media Center

Parking Lot

Other (specify under additional information)

West Seaford Elementary School

Answer Required

Cafeteria

Classroom (specify under additional information which classroom)

Courtyard

Gym

Media Center

Parking Lot

Other (specify under additional information)

Additional information:

Answer Required

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

Answer Required

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

Answer Required

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]

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Seaford School District Facility and/or Equipment Rental Request