Building Use Form

Board of Education

River Vale, Bergen County

New Jersey  07675

 

School Requested___________________________________ Date of Application__________________

 

Name of Organization__________________________________________________________________

 

Contact Name_____________________________________ Home Phone_________________________

 

Mailing Address___________________________________ Work or Other________________________

 

                          ____________________________________  Fax Number__________________________

 

 

Area of Building___________________________________ Number of People____________________  

 

Date(s)____________________________________________________________________________

 

___________________________________________________________________________________

 

Time of Day:   From_______________________        To________________________________________

 

Number of Chairs________________________         Tables_____________________________________

 

Other Services/Furnishings Needed________________________________________________________

 

____________________________________________________________________________________

 

Public Address System Required? __________________________________________________________

 

 

I have read the policies and regulations governing the use of school buildings and grounds (as they pertain to all restrictions) and SOP #021; they have been called to the attention of those in the organization which I represent and I assure the Board of Education that they will be observed and that my organization will assume all responsibility for any damage or loss.

 

I understand that the building must be completely vacated by 10:00 PM unless the Board Office has previously granted permission.  Overtime rate is $39/hour (Saturdays) and $51/hour (Sundays).  School activity use of building and grounds or related school group activity shall have priority over all outside groups.

 

I understand that the Board of Education reserves the right to cancel scheduled activities should emergencies arise.

 

Signature of Applicant____________________________________________________________________

 

 

 

_____Approved   _____Denied by_____________________________________Date___________________

 

_____Approved   _____Denied by_____________________________________Date___________________

 

Reason for denial_________________________________________________________________________

 

SOP #021C

Revised 7/04