West Valley School District #363

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Facility Use Application

Please choose either a NORMAL or RECURRING USE schedule below. Required fields marked with an asterisk*

Room(s) Requested
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NORMAL SCHEDULE: Single Date, Multiple Dates, Same Location/Areas

RECURRING USE: Daily, Weekly, Monthly, Same Location/Areas

Day(s) of Week
eg. Mon/Wed or Tue/Th
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Desired Practice Session
There are only two options for all Elementary Schools & WV City School
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Please upload the following forms (if applicable): Statement of Compliance, Team/Group Roster, 501(C)(3) for non-profit groups, and Certificate of Liability Insurance
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or drag it here.

Hold Harmless Agreement

The undersigned hereby makes application for the use of school facilities described on the facility use agreement to West Valley School District No. 363 and agrees and acknowledges that use of school facilities is without representation or warranties by the school district, its employees and agents as to the condition of the property.

The undersigned further states that he has the authority to make this application for the applicant and agrees that the applicant will observe all rules and regulations of the Board of Education and the school in which the facilities are required.

The applicant agrees to exercise the utmost care in the use of the school premises and property and further agrees to use only those facilities indicated under Facilities required listed.

The applicant further agrees to take full responsibility for any and all damage to the property and/or injury to persons allowed or reasonably anticipated to be on the premises by the undersigned.

The applicant specifically waives any and all rights, remedies and causes of actions against West Valley School District, its employees and agents and further agrees to hold the school district harmless from any and all claims arising out the use of premises.

The applicant agrees to reimburse the school district for any and all judgment costs and expenses, including attorney’s fees, incurred by the school district in the defense of any such action.

Applicant has read and agrees to abide by the Policies & Procedures as approved by the Board of Directors and assigning school.

I further agree to reimburse the school district for costs described in the final billing. 

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. *
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