Application for Facility Use
Banner County Schools
Name Of Person/Organization Requesting Facility Use______________________________
Name Of Organization’s Contact Person__________________________________________
Home Phone____________ Cell Phone____________ Work Phone____________
What Facility and Room(s) Are You Requesting To Use?_____________________________ __________________________________________________________________________
For What Activity Or Program Are You Using The Facility?___________________________
Date(s) Facility Needed_______________________________________________________
Starting Time_______________________________________________________________
Ending Time________________________________________________________________
Check The Items That You Will Need For The Activity:
_____ Folding Chairs – How Many? ___________
_____ Tables – How Many? _________________
_____ Lighting – Instructions? _______________
_____ Public Address Microphone
_____ Electrical Outlets
_____ Extension Cord – Length Needed? _______
_____ Concession Stand
_____ Scoreclock
_____ Podium
_____ Others (Please List) ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ All Facility Use Is Subject To A Fee, If Applicable.
Any Groups, Organizations, or Individuals using Banner County School’s facilities or equipment, will be held responsible for any damages incurred during their actual usage.
REQUEST APPROVED: ______________ ________________________________ ________________ Date Received Signature of School Administrator Date Approved Reviewed ______________ Revised ________________
