Please enter the start and end dates for your request, as well which days it repeats or
If you are requesting the same day(s) each week, which days are they?
Or if you are requesting multiple different days, you can select additional dates here.
The person making this request is considered the responsible party and must be in attendance
at all times during the event, to supervise your group. (Staff members must provide the name
of the responsible person (not a student) who will be on site for a District event.)
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.