Application for Use of Facilities

Application for Temporary Use of Facilities

Wyomissing Area School

District Application for Temporary Use of Facilities (Policy #707)

Must BE SUBMITTED 21 DAYS PIOR TO USE OF FACILITY 

Name Of Organization:
Is membership or participation lmited to Wyomissing Area School District Residents?Yes No
Fee charged for membership or participation?Yes No
Fund rasing activites for profit being conducted?Yes No
Applicant/Responsible Party's Name (must be presnet for event)
Address of Applicant/Responsible Party
Applicant/Responsible Party's e-mail address (required)
Phone 
Date(s) Desired
TimeFrom: To:
Building to be Utilized
Facility to be used for what purpose:

Part of Building to be Used: (To select multiple locations use Ctrl click or CMD click)

If Classroom, Lobby, Gym, Field or other is selected please specifiy exact location.

Indicate equipment requested: (Select all that Apply)

(To select multiple locations use Ctrl click or CMD click)

Special Arrangements Requested None Yes, as follows

By signing this application, the person whose signature appears below signifies that he/she is responsible for the group, will see that the buildings are not misused, that groups have proper adult supervision, and that the buildings and grounds are used in conformity with the rules regulations of the board of education. It is hereby also understood that school activities have priority for the use of the building. This applies even for any school activity that must be rescheduled.

Copy of Current Insurance Policy MUST BE SENT IN AN EMAIL TO [email protected]

NOTE: BAND AND ATHLETIC TEAMS IN SEASON TAKE PRECEDENCE.

Electronic Signature of Applicant/Party     

Responsible Party Must be Present for Event



Security Measure