Grass Lake School District 36

26177 W. Grass Lake Rd.

Antioch, IL  60002

847-395-1550/fax: 847-395-8632

 

BUILDING USE APPLICATION

The building and grounds of the Grass Lake School District shall be made available for all worthwhile community activities which do not interfere with the regular school program(s) or which are sponsored by not-for-profit organizations.

Requests for building use must be accompanied by this application.  Additionally, if a custodian is required, the hourly cost of the custodian must be paid by the organization requesting the use of the building.  Also, the Board of Education reserves the right to require a certificate of insurance from the group utilizing the facilities.

 

 

Name of Organization Making Request                         Today’s Date

 

 

Name of Person(s) in charge of activity

 

 

Area of the Building and/or Grounds Requested

 

 

Additional Equipment Requested

 

Date(s) Requested (please list month, day and day of the week (i.e., Thurs, July 7):

 

 

 

 

Hours Requested (please indicate AM or PM):__________________________________

 

The undersigned agrees that he/she will be responsible to the Board of Education for use and care of the Grass Lake School property.  He/she further agrees that the custodian cannot permit the use of the facility except upon presentation of an official permit granted by the Superintendent.

 

Signature                                                                      Date

 

Address                                               City                              State                            Zip

 

Home Phone                                        Work Phone                             Cell Phone

 

Approval of Superintendent                                          Date

 

 

Updated Grass Lake School Gym Rules (Fall 2010)

Please note, with the installation of the new gym floor, Grass Lake School is requiring all organizations that use the gymnasium to follow these rules:

I have read the additional rules and understand our group is responsible to the Board of Education and Grass Lake School for use and care of the Grass Lake School property. 

 

_______________________________________                      

Name of Person Requesting Usage

 

_______________________________________                                   _______________

Signature                                                                                                      Date