Gymnasium or Classroom Rental Form by hfp39456

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									                                                PEACE RIVER SCHOOL DIVISION NO. 10


                                        GYMNASIUM OR CLASSROOM
                                                    RENTAL APPLICATION
Application to Rent                                          School
      Gymnasium                         Classroom

       Home EC Room                     Computer Room
Name of Organization_____________________________________________________

Address of Organization___________________________________________________

Name of Applicant________________________________________________________

Telephone number of Applicant_____________________________________________

Date(s) requested________________________________________________________

Time: Doors to be opened __________________ Closed:_______________________

Exact use to made of facility________________________________________________

Age group of users_______________________________________________________

Admission to be charged     Yes __________________ No______________________


I/We have read the attached rules and regulations pertaining to the use of this gymnasium or
classroom, and agree to abide by same. Cheque or money order (Category I functions only)
to cover the stated rental is attached on the understanding that this will be returned if
permission is not granted.

______________________________          _____________________________________
Date                                         Signature of Authorized
                                             Representative of Organization


Principal's Statement
1. I hereby certify that the gymnasium or classroom is available at the time and on the
     date requested above.
2. I recommend that this application be ( ) granted ( ) refused
3. I recommend that custodial supervision by the caretaker or designate be
     ( ) __ required
     ( ) __ waived
4.   Additional comments (if any)____________________________________________



     ____________________
     Principal's Signature

For Office Use Only:
Category
Rate

								
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