Please complete this application and return it to the building Principal. Allow a minimum of two-weeks forapproval or denial of your application. If School Board approval is sought for your application approval or denial may take longer. The Superintendent will determine if School Board approval is required.

Liability

I, undersigned or the organization I represent, will assume all liability for all persons in attendance at this function while on school premises. We assume responsibility for all school property utilized and will pay for any damage to the property. I understand that a certificate of insurance ($1,000,000 liability, @100,000 property damage) may be required. No liability will be assumed by the Northwestern School Corporation, any employee, or officer as a consequence or permitting access to the corporation's facilities.

Cost of Facility Use:

I understand that the undersigned will be billed for any staff costs incurred by the school corporation in connection with this event including but not limited to the cost of custodians, cooks, lifeguards, sound/light personnel, and supervisors. I understand that this rental will be operated within the policies, rules, and regulations of the Northwestern School Corporation.

The information on this page is to be completed by the office of the Director of Operations.