Grass Lake School District 36
26177 W. Grass Lake Rd.
Antioch, IL 60002
847-395-1550/fax: 847-395-8632
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:
1) Absolutely no food or drinks are allowed inside the gymnasium. Please eat/drink in the concessions hallway only.
2) During rain or winter, organizations are required to wipe off their feet before walking on the gym floor. Water on the gym floor could cause the wood to warp. Additionally, if water is spilled or brought onto the gym floor, please wipe or mop up the water.
3) Hard baseballs or similar hardened sports equipment are not allowed. Baseballs (and similar balls) will cause divots into the wood.
4) To avoid wear on the center circle, all activities requiring a center-court face-off must be done outside of the center circle.
5) Cleats are not allowed on the gym floor. If participating in athletic activities, proper gym shoes are required.
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