Sylvania Schools
APPLICATION FOR PERMIT TO USE SCHOOL FACILITIES Groups Not Affiliated W/ District

Revised: September 2019

*Rental fees - rates are subject to change without notice

Date

Name of Event

Building	Facility Required	Organization
_
Date (MM/DD/YY)	Reoccurring Yes	No	(if yes)day of week	Time in   Time out	Time in (for set up if needed) Group will be charged ½ hr. prior to this

Contact	E-mail address	Phone

Address	City/State/Zip
I have been provided and read the rules governing the use of school property and hereby agree to all terms and conditions. Additionally, the aforementioned organization using Sylvania Schools Facilities agrees to indemnify and HOLD HARMLESS the Sylvania Board of Education and their agents and employees from all liability, claims, demands and costs, for, or arising out of our use of the Sylvania Board of Education Property whether it be caused by the negligence of the indemnitor or Sylvania Board of Education or neither party’s agents or employees, or otherwise. Proof in writing of indemnification and HOLD HARMLESS must first be provided to the Sylvania Board of Education before the use of any facilities will be permitted.

Representative of Contracting Organization / Group	Representative, Sylvania Board of Education

(For official use)
Building Usage*	Facility Usage 	

Theatre (PAC) NV or SV -  $250.00/Hr. Gym (High Schools Jr. Hi) - $100.00/Hr. Gym (Elementary School) - $ 50.00/Hr. Cafeteria/Commons areas -  $ 75.00/Hr. Kitchen** -                            $ 50.00/Hr. Classrooms                            $ 25.00/Hr.

Northview Stadium, Nusbaum Stadium, Southview Soccer Field, Timberstone Stadium
Field Use Cost*
Single Game -	$   300.00
Double Header -	$   450.00
*Entire Stadium (for Friday Night Football Game) $1,500.00

Natatorium 	Labor Grounds Crew (Flat Rate Minimum Charge) **

Entire Facility                       $110.00/Hr. Lap Lanes                             $ 45.00/Hr. Diving Well                          $ 20.00/Hr. Per Person                            $   5.00/Hr.
Swim Lessons $ 72.00/child (6 sessions/school yr.) Swim Lessons $ 120.00/child (12 sessions / summer)

Mon.- Sat. (Single Game)   $200.00
Mon.-Sat. (Double Header) $300.00
Sunday (Single Game)	$300.00
Sunday (Double Header)	$400.00

Note: Above labor rates include 4 Hrs. of labor for Single games and
6 Hrs. of labor for Double Header. Includes: opening the facility 1 Hr.

*Lessee must pay the cost of at least one (1) custodian	prior to the start of game, 2 Hrs. (for single game), 4 Hrs. (for double to be present the entire length of building opening	header) and 1 Hr. for cleanup and lock up of facility.  If user requests however additional custodians may be required	the facility be opened sooner before the game, remain open longer after depending on the number of people expected at the	the game or if concessions are offered then additional hours will be event and if food and/or beverages are served.	charged at $55 /Hr. (Mon- Sat) and $70.00 /Hr. (Sun) in 1 Hr.
**If Kitchen is rented to prepare food then lessee must	increments. **Additional charges will apply for Friday night football. pay the cost of at least 1 District Food Service employee.

Copies to:	1. Applicant  2. Audio Visual  3. Treasurer  4. Building Office  5. Building Custodian   6. Athletic Grounds

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Sylvania Schools
APPLICATION FOR PERMIT TO USE SCHOOL FACILITIES Groups Not Affiliated W/ District

 Audio / V is ua l f o r eit her P er f o r ming Art ’ s Cent er s  	Custodial Hours (minimum 4 hours)

District Technicians (minimum 4 hours) 	Mon. – Fri. Technician:	Evening/Sat.

Hrs. @ $29.00/Hr. - $ Hrs. @ $44.00/Hr. - $

Mon. – Fri. Evenings/Sat. Sun.

Hrs.@ $32.00/Hr.- $ Hrs.@ $48.00/Hr.- $ Hrs. @ $64.00/Hr. -$

Sun.

Hrs. @ $58.00/Hr. - $

Services Needed
Lights _ 	

Sound  	

Other Needs such as tables, chairs etc. (please specify)	Athletic Grounds Crew (minimum 4 hours)

Mon.- Fri. Evening/Sat._ Sun.

Hrs. @ $35.00/Hr. -  $ Hrs. @ $55.00/Hr. -  $ Hrs. @ $70.00/Hr. -  $

Kitchen Hours (minimum 4 hours) 	Student Workers (Audio / Visual)

Mon. – Fri. Evening /Sat._ Sun.

Hrs. @ $26.00/Hr. $ Hrs. @ $39.00/Hr. $ Hrs. @ $52.00/Hr. $

Hrs. @ $10.00/Hr.

Total (from previous page)  	$ 	

Total (this page) 		$ 	

Total Estimate 		$ 	

Insurance 		Received  	

On File

Hold Harmless 		Received  	

On File

Note that for the labor hours listed (on the previous page):
Mon. – Fri. indicates labor charges for the time during a NORMAL workday for District employees.  Evening/Sat. rate will be charged for any time beyond the normal workday EXCEPT Sunday which has a separate rate listed.

Custodial staff will be paid ½ hour minimum for set up, for the entire event and for a minimum of ½ Hr. to clean up and lock up after the event. The number of custodians required to clean up the facility after event will be determined by several factors including (but not limited to) the number of people attending the event and if concessions are sold (or food served) at the event.  In this case, the lessee will be charged a minimum of 4 Hrs. for the number of custodians required
for cleanup of the facility.

The above fees will be used to calculate the fees for labor to cover an opening of the facilities designated above. The application of these fees is at the sole discretion of the District.  In addition to these fees and submitting this completed form, the group MAY also be required to submit a signed waiver of liability and supply the appropriate certificate of Liability insurance. These forms along with the “Rules Governing Use of School Facilities” can be found on the District website at  www.sylvaniaschools.org

Revised: September 2019

Copies to:	1. Applicant  2. Audio Visual  3. Treasurer  4. Building Office  5. Building Custodian   6. Athletic Grounds

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