TEXARKANA INDEPENDENT SCHOOL DISTRICT
APPLICATION FOR USE OF SCHOOL FACILITIES
 
  Date of Application: 9-7-2008
 
School Facility or Building:
Specific Area Requested:
Equipment Needed:
Type of Program: (Be Specific as to Name of Speaker, Type of Entertainment, Activities, Etc.)
Expected Attendance Count:
 
Indicate Day, Date and Time of Use Below:
Day Date Time(hh:mm)(select am or pm)
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We hereby certify that we shall be personally responsible, on behalf of our organization, for any damage or abuse of school buildings, grounds, or equipment growing out of the occupancy of said premises by our organization. We agree to abide by and enforce the rules and regulations of Texarkana Independent School District governing the non-school use of buildings, grounds, and equipment as delineated in "Rules and Regulations for Non-School Use of School Property" found at the following link. (Usage Packet)

We agree and undertake to save and hold harmless the Texarkana Independent School District from any and all claims for damages, personal or otherwise, that may arise out of the use of said property, whether by a member of our organization or by other person using or enjoying said property, and without regard to whether damage, personal or otherwise, is brought about or caused by the negligent operation of said property by us.
 
Name of Organization:
 
By checking you are electronically signing this application.
Name and Title of Authorized Agent Signature of Authorized Agent
 
Address:
Phone: Fax:
Mobile/Cell: E-Mail:
 
For TISD Use Only:   Classification:   ____________________    Fee Charged:   $_________________
Approved:   ________________________________    Date Approved:   ___________________
Principal or Administrator