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Nederland Independent School District
Business: Facility and Concessions Use Request
7/17/2026

Today's Date: *

FACILITY REQUESTED

Campus: *

Area I:

Area II:

Organization Name: *

Address: *

City, State, Zip: *

Description of Function/Activity: *

Date From

Date To

From

.............To

Date of Week

Set-up, Event

Group Access Required at: *

Public Access Required at: *

Event Start Time: *

Estimated Attendance (if any): *

Equipment Needed: *

Tables, Chairs, Microphone, etc...

Event Type:

If you selected "other" please explain below

Other Details:

Contact Name:: *

Contact Title:

Contact Phone: *

()- Ext.

Alternate Number:

()- Ext.

Contact Email: *

NISD Guidelines

I have read, understand and agree to the Nederland ISD guidelines for facility use.

Agreement: *

Yes

*********************************************************************

NISD OFFICE USE

Category:

Category 1: No Charge

Category 2: Personnel Fees Only

Category 3: Rental Fees

Estimated Charges:

Insurance Received?:

Yes

***************************************************************

CAMPUS CONTACTS
Please submit form to appropriate campus contact:
Admin Bldg/Concessions - Becky Rash
Alternative - Alice Ary
Athletics - Brandi Batson
Nederland High - Julie Blackwell
Central Middle - Becky Jones
C.O. Wilson Middle - Robbie Rinehart
Helena Park Elem.- Amie Litvik
Highland Park Elem. - Jana Zant
Hillcrest Elem. - Terri Bombek
Langham Elem. - Angie Beard

Area I:

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