Community Facility Use

Decorative- PSD#285 Header %22Small town, big hearts, bright futures%22

Potlatch School District #285

130 6th Street

Potlatch, ID 83855

(208) 875-0327/ Fax: (208) 875-2560

FACILITIES USE FORM

Please select the facility you would like to rent:required

Potlatch Elementary School

Potlatch Jr-Sr High School

Do you need to borrow any equipment?required

Yes

No

Please list the needed equipment if you answered "yes" to the previous question:

Name of Individual or Group:required

Event Name/ Purposerequired

Contact Personrequired

Address:required

City, State Ziprequired

Phone Number:required

Email

Are you a Tier 1 Organization (School-Affiliated Club)?required

Yes

No

Are you a Tier 2 Organization (Non-Profit)?required

Yes

No

Are you a Tier 3 Organization (All Other Entities)?required

Yes

No

Date(s) of Use:required

Time of use (Start/ End):required

Number of People Attending:required

BUILDING RENTAL FEES PER TIER LEVEL (Rates & Costs are per hour)

BUILDING	AREA	TIER 1	TIER 2	TIER 3
All Schools	Classrooms	No Cost	$10	$20
	Music Room	No Cost	$10	$20
	Library	No Cost	$10	$20
	Computer Labs	No Cost	$15	$30
	Kitchen **	No Cost	$15	$30
	Cafeteria/ MPR	No Cost	$35	$75
	Gyms	No Cost	$35	$75

Tier 2 Organizations can apply for a waiver, in order to waive costs for rental use by completing the Fee Waiver Form.

** Food Service personnel are required to be present when the Kitchen is in use. The individual/ organization renting the facility will pay food service personnel at their current rate of pay.

Remember: Personnel must fill out time sheets

EQUIPMENT RENTAL FEES:

Portable Folding Chairs=$2.00/ each

Portable Tables= $30.00/ each *Limited Amount

Equipment Deposit: An equipment deposit of $50 is required to rent equipment from the District. This deposit will be returned upon receiving back all non-damaged rented equipment.

Number of hours in building:

CLEANING DEPOSIT:

All entities utilizing the school facilities are required to pay the Cleaning Deposit.* A refundable cleaning deposit of $150 is required at the signing of all agreements for use of district facilities. Any individual or organization which rents or uses a district facility and leaves it, upon completion of rental or use for any particular day, in need of cleanup shall be assessed a cleaning fee commensurate with the amount of cleanup required.

*Please Note: If a Cleaning Deposit is not returned and is used for cleaning purposes, the renting entity will be required to provide the District with another Cleaning Deposit before they will be allowed to rent the facility again.

RESPONSIBILITIES OF RENTING PARTY:

Each school will provide the renter with a list of responsibilities.

Regularly scheduled and authorized events and programs outside of school hours in the public interest are encouraged. For each such event or program, a sponsor must accept responsibility for the cleanup and security of the building used.

Organizational supervisors are adult supervisors provided by the sponsoring individual or organization and are required of all entities who use or rent district facilities.

If applicable, please list any additional dates/ times being requested below:

Please provide additional event details, and space needsrequired

Signature of Agreementrequired

By selecting this box, I acknowledge that I have read, understand and agree to the terms and conditions for the rental of a Potlatch School District facility and/or Equipment. School standards of no smoking or drinking of alcoholic beverages in the building or on grounds must be maintained. There shall be no abuse of school property in any way. The school district shall be held harmless against any and all claims, liabilities, damages, losses, actions or causes of action that may be sustained to persons or property resulting from the occupancy and use of school district facilities. The part of the building to be used, time desired and rental charges should be clearly understood by all parties. The undersigned affirms that he/she has the authority to bind the organization requesting said use.

Logo Image

Logo Title

In This Section

Facility Use Forms

District Facilities Use Form

*Please Note: If a Cleaning Deposit is not returned and is used for cleaning purposes, the renting entity will be required to provide the District with another Cleaning Deposit before they will be allowed to rent the facility again.

Fee Waiver Request Form

Key Request Form

Potlatch Elementary School Gym Schedule

Potlatch Jr-Sr High School Gymnasium Schedule

Logo Image

Logo Title