COMMUNITY USE OF SCHOOL DISTRICT BUILDINGS & SITES & EQUIPMENT
APPLICATION FORM
Code No. 905.1E1
The undersigned entity makes an application for the use of the school district facility or equipment as designated below. The entity will provide police protection at its own expense, if necessary, to maintain order and to properly protect the building or site.
Please refer to Policy 905.1 to determine the proper use of school facilities and equipment. The entity is responsible for complying with the law, board policy and the administrative regulations.
The entity must provide an Indemnity and Liability Insurance Agreement, Code No. 905.1E2, prior to the use of school district buildings or sites.
Building/Site/Equipment_____________________________________Date ________________
Purpose ___________________________________________________Hours ______________
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For Profit-Select your Choice |
Non Profit-Select your Choice |
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Colesburg Gym |
$150 per day or $20 per hour |
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Colesburg Gym |
$10 per hour |
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Edgewood Gym |
$150 per day or $20 per hour |
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Edgewood Gym |
$10 per hour |
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Varsity Gym |
$300 per day or $40 per hour |
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|
|
|
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Gym Equipment (All Gyms) |
$50 flat fee |
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Gym Equipment (All Gyms) |
Part of Custodial Fee |
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High School Commons |
$10 per hour |
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Classroom |
$10 per hour |
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Classroom |
$10 per hour |
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Baseball Field |
$300 per day |
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Baseball Field |
$20 per hour |
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Track |
$150 per day or $20 per hour |
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Track |
$20 per hour |
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Custodial Fee: $ ____________
Total Fee $_________________
Name of entity making application:_________________________________________________
Name of person making application: _______________________________________________
Address: _______________________________________ Phone #: _____________________
_____________________________________ _____________________________
(Signature of Applicant) (Date)
I.C. Iowa Code: § 123.46; § 276; § 278.1; § 279.8; § 297; § 8D
Cross References: 705.4 Expenditures for a Public Purpose
905.2 Nicotine/Tobacco-Free Environment
Revised: 9/8/2025
Reviewed: 9/8/2025
