Description
 
 
 
   
Application for School District Facilities/Equipment Use


Date:  
School Requested:  
Equipment Requested:  
Organization Making Request:  
Address:  
Address 2:  
City:  
State:  
Zip:  
Phone:  
Fax:  
Email:  
Purpose of Facilities/Equipment Use:  
Date/s Requested:  
Start Time of Event:  
End Time of Event:  
Area/s Requested:  
Admission/Attendance Fee:  

ASSUMPTION OF LIABILITY AGREEMENT
I, (type individual's name)  
as a duly authorized agent representing (type organization's name):  

(hereafter "User"), in consideration of being permitted to use the designated School District of Baraboo facility, do hereby agree on behalf of User to indemnify and hold harmless the School District of Baraboo, its board members, employees, officials, officers, agents, or agents' employees from and against any loss, damage, claim, demand, liability or expense by reason of any damage or injury to property or premises, buildings or grounds. User also assumes liability for any damage to School District of Baraboo property arising from said use and occupancy.

User agrees to handle, respond to, investigate and defend, at it's sole expense, any claim or alleged claim made against the School District of Baraboo, it's board members, employees, officials, officers, agents, or agents' employees, arising out of the conduct of User's operations and/or use of the premises. User shall bear all other costs and expenses related thereto.

User has accurately described User's event and its needs, and that User understands and agrees to accept all terms and conditions of the 830-Rule, Use of School Facilities Regulations and 830-Exhibit lists the Facilities Rental Fee Schedule, that User Accepts responsibility for all School District of Baraboo facilities and equipment used, that User will guarantee payment of all costs and rental charges, and that User accepts the liability clause above. I further understood and agree that User will promptly pay for any damage to School District of Baraboo equipment or facilities.

I declare that User does not discriminate on the basis of religion, race, sec, age or national origin.