Facility Reservations

Contact Information

Contact Person:

Phone Number:

Email Address:

Organization:

Address:

City, State

Zipcode

Reservation Information

Meeting Title:

Meeting Date MM/DD/YYYY

Starting Time:

Starting Time Frame: (required) A.M. P.M.

Ending Time:

Ending Time Frame: (required) A.M. P.M.

Number Attending (approximate):

Special Set-up Instructions:

Building Requested: (required) Evergreen Springview Oakwood Middle School High School Ceglarek Fine Arts Center

DISCLAIMER:

This is only an application, not a contract. Once the application is approved, you will receive a confirmed contract for your reservation. In consideration of the use of the room or facility referenced in this form, the organization named on the form, for itself and on behalf of its individual members and guests, hereby expressly relieves and discharges the Allendale Public School District, its Board, officers, agents and employees, from any and all liability for any loss, injury or damage to persons or property that may be sustained by reason of the use or occupancy of the room or facility used hereunder and the lobbies, corridors, parking lots and any other parts of the School District premises, and waives any claim which it or they may have against the School District, officers, agents, and employees by reason of any such loss, injury or damage. Further, said organization, for itself and on behalf of its individual members and guests, hereby agree to identify and save harmless the Allendale School District, its Board, officers, agents and employees from and against any and all claims of loss, injury, or damage to persons or property arising out of the use or occupancy of the room or facility used hereunder and the lobbies, corridors, parking lots and other parts of the School District premises.

APS Facility Reservations