Aspen View Regional Division No.19

FM-E2

 

School User Group Agreement /  Name of School _____________________

 

 

Applicant Information:

Group or organization:  _______________________________________________

 

Mailing address:            _______________________________________________

 

Contact person:              ___________________     Phone number:  ____________

 

Supervisor/instructor:      ___________________     Phone number:  ____________

 

Date required:   _____________  Rooms required:  ______  Hours of use: _______

 

School equipment requested:   __________________________________________

Note: Use is liable for all costs and damages to equipment.

 

Remarks:   __________________________________________________________

___________________________________________________________________

___________________________________________________________________

 

____________________________              ______________________

Applicant's Signature                                         Date

 

 

School Information:

Facility: ________________

School Equipment Required    Y___   N___

Details: ____________________________________________________________

Fee to be charged:  ___________________

 

Special conditions for use:   ____________________________________________

___________________________________________________________________

___________________________________________________________________

 

Additional information:  ________________________________________________

___________________________________________________________________

___________________________________________________________________

_________________________                   _______________________

Principal's Signature                                          Date

 

Completed copies of this form are to be submitted to the Secretary-Treasurer with the fees.