BUILDING USE AGREEMENT
DOUGLAS COUNTY SCHOOL DISTRICT #4
This agreement, entered into this _____ day of ______________ 20____ between Douglas County School
District #4, Douglas County, Oregon herein called the “DISTRICT” and:
Name of Organization: ___________________________________________
Name of Person/Representative: ____________________________________
Herein called “USER” is for the purpose of establishing terms and conditions of building facility use as required
and consistent with the “DISTRICT’S” policy as stated in Policy statement KG “Community Use of District
The facility requested is: School: Joseph Lane Middle School
Hours of Use _______________
Facility approved subject to the terms and conditions listed below without rental fee or employee overtime
APPROVED BY: __________________________________ Building Principal Date:______________
User shall not make any alterations or additions to the leased premises without the prior written consent of the
“DISTRICT’S” Chief Operations Officer.
“User shall take good care of the used premises and all fixtures and equipment. In the event of damage to the
premises or equipment by any cause, the “USER” shall immediately notify the “DISTRICT” of such damage.
Should the premises or any equipment located on the premises be damaged or destroyed through the negligence,
neglect, or fault of the “USER”, the “USER” will be responsible for the repair and/or replacement of all such
damaged or destroyed property.
“USER” hereby agrees to hold the “DISTRICT” harmless against any and all claims, liabilities, damages,
losses, accidents, or causes of accidents that may be sustained to persons or property resulting from the use of
the “DISTRICT” facilities described above.
SMOKING/TOBACCO USE ON DISTRICT PREMISES IS PROHIBITED
Organization and/or Person Signature and Date
INSTRUCTIONS: Send District Office Copy to the Business Office on each occasion the building is used by
individuals or organizations other than school groups.
Original School copy Copy to User Copy to Business Office