TVUSD
KF-EB - EXHIBIT
Community Use of School Facilities

TANQUE VERDE UNIFIED SCHOOL DISTRICT Request for Use of School Facilities Form
Date: ______Fundraiser: Yes No If Yes, is paperwork submitted to STUCO (High School Only) Yes No Group/Organization: _______________________ Event: _______________________________________ Name of Sponsor: __________________________ Phone: _________ Email: ______________________ Date of Event: _____________ Requested Area/Room: _________________________________________ Event Start/End Times: ____________________ Open/Close Times: ______________________________ Approximate Number of Attendees: __________
An event plan must be developed with the school principal or designee of Operations for events held on non-school days. Equipment & Other Needs (please check):
___ Audio/Visual	___ Audio	___ Heat/Air	# Chairs _____ ___ Podium                    ___ Flag             ___ Open Gym Bleachers          # Tables ____ ___ Scoreboard               ___ Stage           ___ Projector Screen
___ Concession Stand ___ Kitchen	___ Special Lights (MPR or Auditorium)

Other Needs (please list):

Diagram of Set-Up for Activity:

Custodian Needed?	Yes ___	No ___

Group/Organization Representative Signature: _________________________ Date: _________
Please Print your name: ____________________________________________________________ Submit completed form to the office manager. A copy of this form signed by the school principal or designee will be
returned to you and serves as reservation confirmation.

__________________________________________________________________________________________ Office Use Only

Site Manager Signature: ___________________________________________ Date: _________

Date on Calendar Cleared By: ______________________________________ Date: _________

Proof of Insurance:	Yes ___	No ___	District Contract Required?	Yes ___	No ___

Class Category:	Class I ___	Class II ___	Class III ___	Class IV ___

Event Plan Attached: Yes ___	No ___	Notes: ____________________________________

Copies to:	Sponsor___ Custodial ___	A.V. ___	Facilities ___

Bookstore -- Fundraising Paperwork Received: Yes ___ No ___

District Office Administrator Signature: ________________________________ Date: _________

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