Facility Use Application

Required

Application for Use of School Facility

*Please read the space usage policy BEFORE filling out the application.

Click HERE to view the policy on the use of our facilities.

Name of Contact Personrequired

First Name

Last Name

Associated with an organization?required

If associated with an organization, please include organization name here

Email Addressrequired

Street Addressrequired

Address Line 2

Cityrequired

Zip Coderequired

Event Information:

Date Requestedrequired

Must contain a date in MM/DD/YYYY format

If this is a recurring event, please list all requested dates.

Time Requestedrequired

Describe Eventrequired

Estimated Number of Attendeesrequired

Is there anything else we need to know about your request?

By signing below, you agree that you have read and agree to the regulations set forth by the Cologne Academy School Board in Policy 902. *Please remember to shut off all lights and remove all trash to avoid additional charges.

Digital Signature:required

Based on Policy 902 referenced above, which class do you feel you will fall into?required*The application fee for each Class will be charged accordingly and added to your final invoice.

Class I

Class II

Class III

*The application fee for each Class will be charged accordingly and added to your final invoice.

Please complete the security verification below.

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Facility Use Application