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Facilities Permit Application

Required

 

BEDFORD CITY SCHOOL DISTRICT 
Administration Center 
475 Northfield Road, Bedford, Ohio 44146 
Business Office: 440.439.4333 FAX: 440.439.4850 

Before completing this form, please review the regulations that follow for important information. 

Name of Applicant/Person in Chargerequired
First Name
Last Name
Must contain a date in M/D/YYYY format
Day(s) of Week NeededPlease select up to 7 choices
Please select up to 7 choices

NOTE: Security and/or a parking attendant will be scheduled per group of 1OO or more people. 

I, or the organization I represent, hereby agree to hold ourselves responsible for the supervision of the activity, for the conduct of all persons present, and for any damage which may result to school property. We further agree to be responsible for all charges that may be made. We have read and concur with the attached list of rules and the conditions as outlined on the reverse side. We agree to hold the Bedford Board of Education harmless from any actions that may result from our use of the school district facility and I have obtained liability insurance for $1 million naming the Bedford Board of Education as an additional insured. I understand the Bedford Board of Education has the right to cancel this permit. 

Must contain a date in M/D/YYYY format
Terms of Servicerequired
Technology Equipment Needed for Meeting RoomComputer Technician will arrive 15 minutes prior to presentation unless otherwise noted.
Computer Technician will arrive 15 minutes prior to presentation unless otherwise noted.
Call 440-786-3566 with any technology questions before 3 p.m.
Stadium NeedsPlease select up to 8 choices
Please select up to 8 choices
Room Set UpPlease select up to 2 choices
Please select up to 2 choices
Must contain a date in M/D/YYYY format

Board Approval

 


Principal Approval

 


Business Manager Approval

 


Date Approved

 

 

ESTIMATED CHARGES:

 


Stadium

 


Practice

 


Lights

 


Equipment

 


Custodial

 


Security

 


Parking Attendant

 


TOTAL

SUPERVISOR OF BUILDINGS & GROUNDS COORDINATOR ELECTRONIC MEDIA COMMUNICATIONS & PUBLIC RELATIONS 

BUILDING HEAD CUSTODIAN STADIUM CUSTODIAN SUPERVISOR NUTRITION SERVICES 

Form #7SI0 Dec 2015 

BEDFORD CITY SCHOOL DISTRICT JS A SMOKE-FREE ENVIRONMENT

BEDFORD CITY SCHOOLS

Regulations for Use of Facilities 

Use of the Buildings/Facilities is Governed by Board Policy 

A.Visiting team(s) may not exit the premises until the locker room has been inspected by the administrator in charge. 

B. Groups must obtain liability coverage of $1,000,000 naming the Bedford Board of Education as an additional insured. 

C. Users are responsible for ensuring orderly behavior and will be responsible for paying for all damage associated with their use of the facility or equipment. 

D. The District reserves the right to request payment of estimated fees in advance. 

E. Use of tobacco is prohibited. All users are responsible for complying with this regulation. 

F. Alcoholic beverages and controlled substances will not be permitted on District property at any time. 

G. Decorations must be fireproof and shall be erected and taken down in a manner not destructive to District property. 

Decorations are subject to the approval of the building administrator. The use of open flames, such as candles, is permitted, only with written permission from the fire marshal. 

H. The user shall be fully responsible for all loss or damage to District property, including property of students and employees. 

I. Requests for District owned equipment are not included in the direct or indirect costs and shall be charged based on request and type of equipment. 

J. The use of any materials on floors or other parts of the building is strictly prohibited without specific approval in writing from the building administrator. 

K. Use of stages, furniture, and equipment must be arranged for in advance. Extra compensation will be paid to employees for moving, operating, or supervising special or extra equipment and will be charged to the using group. 

L. Buildings will normally be opened (I) hour prior to the activity and for (I) hour after its scheduled ends, unless other arrangements are requested on the application and approved. 

M. Use during summer vacation, on holidays, or during other vacation periods shall not conflict with building cleaning and renovating programs and will depend on the availability of building service personnel for supervision. 

N. A school custodian shall be on duty whenever a facility is being used except as exempted by the principal. The custodian will render custodial assistance in handling furniture and equipment and will be responsible for seeing that the facility or facilities are left in good order after the activity is over. The custodian's overtime, including clean-up time, will be charged at the current hourly rate. Food-service personnel shall be required, in addition, when kitchen facilities are requested, unless exempted by the Business Manager. 

0. Religious Activities: Pennits will not be issued to churches as a regular meeting place. However, established community churches located in the school District may apply for emergency or occasional use of a building. These activities must have Board of Education approval. 

P. Responsibility for enforcement of rules and regulations concerning use of District facilities rests with the user group, and any infractions of the above regulations may be grounds for refusing to grant subsequent requests for the use of District facilities. 

Q.Corridors, exits, and stairways must be free of obstructions at all times. Exits are to be lighted when facilities are in use. Members of audience or spectators must never stand or sit so they block exits, stairways, or aisle ways. 

R. The District will not be responsible for any loss of valuables or personal property. 

S. Flyers, booklets, or other printed or audio-visual materials may not be distributed unless they relate directly to the activity for which the school facility is being used. 

T. Non-marking gym shoes must be worn when using any gymnasium floor

Payment Information

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