DISTRICT ALERT Posted Feb 22, 2018, 5:25:42 AM: Woodland Public Schools will be closed today.

Facility Request Form

Please Note: Fields marked with * are required to submit the form.

Please Read Carefully

  • Start and end at stated time.
  • No tobacco, smoking or alcoholic beverages.
  • Adult supervision is required at ALL TIMES.
  • Applicant is responsible for damages and cleanup.
  • No firearms or weapons allowed on campus unless pre-approved as part of your program.
  • Any school closure due to holidays, vacation, bad weather, cancels use of facilities without notification.
  • Failure to observe rules and regulations of the District may result in loss of usage privileges.
  • Must give 24-hour notice of cancellation.
  • All agreements expire at end of reservation period.
  • Use only facilities and equipment listed on application.
  • School District functions preempt all other usage.
  • In case of fire alarm EXIT building immediately and call 911.
Applicant has read and agreed to the above statements:

Facility Requested:

School building:
Desired facility:
Fees:
Cost Level 1Cost Level 2aCost Level 2bCost Level 3
Total cost:
Reference No.:
Receipt No.:
Type of activity:
Expected attendance:
Admission charged: Yes No
If yes, amount:
Equipment/Services/Personnel:
Will you require any additional District equipment, services or personnel during the period of your reservation?



Times and Dates of Use:

Usage date(s): Format: mm/dd/yy
Day(s) of week:
Arrival time:
Departure time:

Requesting Individual or Organization:

Name:
Person responsible and in attendance at all times (if different from above):
Organization/Business:
Address:
City
Zip
Contact phone Format: 360-123-4567
Email

Agreement: I hereby make application to the Woodland School District for use of school facilities described above, and certify that the information given in this application is correct. I further state that I have the authority to make this agreement on behalf of the above organization, or for my individual group, and agree that all members of this group will observe all rules and regulations (specifically Policy and Procedure No. 4260-Use of School Facilities) of the Board of Directors and Administration of any Woodland School District facilities that are used. I am 18 years of age or older, and agree to defend, indemnify and hold harmless the Woodland School District, its School Board, Administrators, Employees, Volunteers and Agents, from any and all claims, injuries, damages, causes of action, losses, costs (including attorney's fees and costs) suits or judgments due to bodily injuries, personal injuries and/or property damage arising directly or indirectly out of the use of the District's facilities for the activity noted above, except to the extent such injury or damage is caused by or results from the District's own negligence in connection with this agreement.

Applicant has read and agreed to the above statement: