Facility Use - Request Form

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                                                Kings Canyon Unified School District
                                                Business Office
                                                675 West Manning Ave., Reedley CA 93654
                                                (559) 637-1210




                                        Facility Use - Request Form
Organization (Lessee)                                                                    District Use Code

Address                                                              City                              CA Zip

Contact                                          Phone                       FAX                         E-Mail

                                                                            From Time                        To Time

Facility being used                                                          From Date                          To Date




Purpose




     •      Your organization is responsible to have a $1,000,000 liability coverage rider on file with the District Office prior to the use
            of the facility. This is for attendees that are injured, damage to the facility or other losses. You and your organization hold
            Kings Canyon Unified School District harmless for the use of the facility.
     •      Kings Canyon schools, clubs and co-curricular events take precedence on use of the facilities over outside organizations.
            You could receive notice of being bumped prior to KCUSD school board approval.
     •      All outside organizations need KCUSD school board approval prior to the event use. Board meetings are usually the first
            and third Monday of the month, so plan accordingly.
     •      Fees paid are for the use of the facility only. Damage to playing fields due to vehicles, or buildings, etc. will be charged to
            the entity using the facility.
     •      A responsible adult from the organization must be onsite during the duration of the event. Adequate supervision of the
            attendees is the lessees' responsibility.
     •      Lessees are responsible to leave the facility in an "as found" condition. Damage or trash found when entering the facility
            needs to be reported to the school or District on the day of the event. Additional custodial hours necessary to make the
            facility usable after the event for school purposes would be billed to the Lessee.

I have read and agree to the above provisions, and I am authorized by my organization to enter into such agreements.



Signature                                                 Position                                              Date



                                                              DISTRICT USE ONLY

Facility Use Fee $                                              District Authorization

Board Approval Date if Outside Organization               /          /        APPROVED          YES    NO

Site Approval                            Date             /          /


                                        Return form to site of facility being requested
                                                                       Facility Use Fees
                                                                     Kings Canyon U.S.D.
                                                                          Minimum          Community        Commercial           U/S
          Request Processing Fee @                                                              20                25
          Baseball/Softball - Season per Field                                                                                                Organizations where all fees ar
                                   Elementary Field - Adults                  67                79               133           Season              • District Schools
                                   Elementary Field - Children                33                46                90           Season              • School Sports
                                   High School - no lights                    265              397               624           Season              • School Clubs
                                   High School - Lights                       529              661               982           Season              • Youth Football
                                   Field use - one time                       33                67               133              U                • Scouts
                                   Field Use w/Lights - One time              67                99               178              U                • Babe Ruth
          Cafeteria / Kitchen- R.H.S. - All Day (4 + hours)                   290              365               589              U                • 4H
                         0-4 hrs   Morning, Afternoon, or Evening each        132              166               268              U                • City of Reedley **
          Cafeteria - Middle/Elem Schools-All Day (4 + hrs)                   173              217               391              U
                         0-4 hrs   Morning, Afternoon, or Evening each        79                99               178              U           Minimum Cost
          Multi-purpose Room - Citrus/T.L.Reed                                                                                                     Girls/Boys Clubs
                                   All Day (4 + hrs)                          202              290               512              U
                         0-4 hrs   Morning, Afternoon, or Evening each        92               132               253              U
          Classroom - All Sites                                               33                46                90              U           Community - Minimal contribution to fixed costs
          Exercise Room                                                       33                46                90              U                Churches
          Grounds Use - No Bathrooms                                          26                33                54              U                Family Events
          Grounds Use - Bathrooms                                             53                67               107              U                Reedley Judo
          RHS -Large Gym           All Day (4 + hrs)                          202              290               512              U                Immanuel
                                   Morning, Afternoon, or Evening each        92               132               233              U                St LaSalle
          RHS -Small Gym           All Day (4 + hrs)                          173              233               391              U                Class Reunions
                                   Morning, Afternoon, or Evening each        79               106               178              U                Reedley Chamber of Commerce
          RHS - Locker Rooms                                                  33                46                90              U                Reedley College
          Performing Arts Theatre (PAT)
                                   All Day (4 + hrs)                          655              798               1278             U           Commercial - Full contribution to fixed costs
                                   Morning, Afternoon, or Evening each        298              363               581              U
          RHS - Tennis                                                        53                67               107              U
          RHS - Stadium            All Day (4+ hrs)                          1900              2000              2840             U         15% added to fees for salaries and energy increases
                                   0 - 4 hrs                                  760              800               1136             U         These use fees become effective 3/1/05
                                                                                                                                            Facility use includes Custodial Time and Utilities
                                   Board Update 7/14/2003
                                   Board Update 2/15/05                  All facility use is for limited duration at the board discretion
                                                                                                                                                   ** Current agreement with City waives all fees for
                                                                                                                                                   KCUSD and City of Reedley
2/15/05