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Facility Use Request

Thank you for taking a moment to request a facility at the School District of Shell Lake.  Please read all directions carefully before submitting your request.

Directions:

  1. Please read over District Policy 742 (Authorized Use of School Property.pdf (112 KB)) before submitting a request. 
  2. Fill out all parts of form.  
  3. IMPORTANT:  In the "Facility Notes:" box, include the following information (read Policy 742 for complete information)
  • Certified staff member supervising event
  • Group qualifications:   Group A, B, C, or D 
  • School Equipment/Materials requested (if any)
  • Equipment/Materials being brought in by Group (if any)
  • Labor (if any)
  • Fees (if any)

 

Facility use application must be submitted one week in advance of date requested unless Board action is

necessary. If so, it must be submitted prior to the Third Monday of the month.


 

Upon submission of this form, you are agreeing to the following:

  • I have read and understand the policies relating to the usage of school facilities, materials and equipment.
  • It is further understood that the above organization or group shall not violate laws which regulate the use of public school facilities, shall assume full responsibility for property damage resulting from use and shall pay fees and labor charges as indicated.
  • IT IS THE RESPOSIBILITY OF THE USER TO CONTACT TIM ULLOM, HEAD OF MAINTENANCE, PRIOR TO THE DATE(S) REQUESTED TO FINALIZE ANY DETAILS.

 

Questions/Comments can be sent to Phyllis Bergeron, District Secretary (bergeronp@shelllake.k12.wi.us)

 

 

The Board of Education reserves the right to reject use of school facilities if it is in the best interest of the School

District.

 

* indicates a required field.

* Event Title:
* Category:
* Date: (m/d/yyyy)
Time: Begin: End: ex: 2:00 pm
* Facility Use:
Facility:
Facility Notes:
Begin Time: ex: 2:00 pm
End Time:
Facility:
Facility Notes:
Begin Time: ex: 2:00 pm
End Time:
Attach Another Facility
Facility:
Facility Notes:
Begin Time: ex: 2:00 pm
End Time:
Attach Another Facility
Facility:
Facility Notes:
Begin Time: ex: 2:00 pm
End Time:
Attach Another Facility
Facility:
Facility Notes:
Begin Time: ex: 2:00 pm
End Time:
Contact Person:
* Contact's Phone:
* Contact's Email:
Description of Event:
Recurrence:
None
Daily
Occurs every day until (m/d/yyyy)
Weekly
Occurs every week(s) on:
Sun Mon Tue Wed Thu Fri Sat
until (m/d/yyyy)
Monthly
Occurs on the 1st 2nd 3rd 4th day(s) below in the month:
Sun Mon Tue Wed Thu Fri Sat
until (m/d/yyyy)
Select Your Dates
01. 02. 03. 04.
More Dates
05. 06. 07. 08.
More Dates
09. 10. 11. 12.
More Dates
13. 14. 15. 16.
More Dates
17. 18. 19. 20.
More Dates
21. 22. 23. 24.
More Dates
25. 26. 27. 28.
More Dates
29. 30. 31. 32.
More Dates
33. 34. 35. 36.
More Dates
37. 38. 39. 40.
Type in the text that you see above:
 

School District of Shell Lake
271 Hwy 63
Shell Lake, WI 54871
Phone: 715-468-7816
Fax: 715-468-7812
connellj@shelllake.k12.wi.us

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