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Oswego City School District
Application To Use School Facilities for the Community
1/24/2019

Application for Permit to use School Facilities

Applicant: *
Your Name
Date: *
Today's Date

Organization Information

(All information must be filled in, enter "none" where appropriate.)

Organization: *
-
Person in Charge: *
Address: *
Home Phone: *
Cell Phone: *
President: *
Address: *
Home Phone: *
Cell Phone: *

Activity

Activity: *

Number of persons expected:

*

Number of adult supervisors:

*

.

Facility Requested

Building: *
Area: *
Pool requires lifeguard certification
Specify "Other" Area:
Days of Week: *
Sunday  Monday  Tuesday  Wednesday  Thursday  
Friday  Saturday  

From Date & Time

*

To Date & Time ...

*
Special Needs and Comments:

Insurance Proof (if required)

.

Proof of Liability Coverage:
Yes  
Date Insurance Expires:

Attachments

Click to Upload Files

If Required (proof of insurance and/or lifeguard certification)

Cost of Use (if applicable)

Facility use fees apply if the facility is being used outside of normal working hours.  Click here to see a summary of these fees.

Total Cost of Use:

Agreement to Law and Regulations

The above applicant hereby applies for a permit to use part of a public school building or grounds, in accordance with the provisions of the State Education Law and the rules and regulations of the Board of Education of Oswego, new York.  (Click here to see the law and regulations).  In case this application is granted and a permit issued, this applicant and the organization represented hereby agrees to indemnify the Board of Education for any loss, damage, or expense arising from the use of the permit.  The statements contained in this application are true.  This applicant and those who represent the organization certify that no unlawful use will be made of the facilities covered by the permit.  Proof of insurance must accompany this permit when requested by the administrator of the facility to be used.

Do you accept this agrrement ?: *
I accept  I do not accept  
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Your E-mail:*
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Your Routing Level: General
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