Harding Family Center

Event

Name of Event:
Brief Description of Event: 
Type of Event:     Expected Attendance:
Date(s) of Event:

Actual Start Time of Event

: a.m.p.m.

  

Actual End Time of Event

:    a.m.p.m.

Access to Room Needed By

: a.m.p.m.

  

Will Vacate Location By

:    a.m.p.m.

Rooms Requested (designated area to be used)

GymnasiumSuite 107Harding Kitchen

Rooms Requested - Other Other:
Admission Fee: $
Will food and/or refreshments be served?     Yes    Specify:

Room Set-up (note that some rooms have limited set-up options)

How do you plan to set-up the room?

Theater-styleClassroom-styleHollow-square Room set-up - Other Other:

Contact Information
Contact:
Organization:
Address:
City, State, Zip:
Work Phone NumberPhone Number: (work) Home Phone Number   (home) Cell Phone Number   (cell)
Email Address: Please leave blank!

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A Certificate of Liability Insurance and full payment are required at least two weeks prior to event.

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Facility Use Permit

If granted permission to use North Idaho College Head Start facility and, if any equipment or services, it is agreed:

1. The requesting organization or individual granted use (and those granted access to the property or facility thereby) will abide by all policies, rules and regulations of North Idaho College Head Start regarding the use of facilities and the conduct of persons in or on North Idaho College Head Start property or facilities, whether now or hereafter adopted.
   
   
2. The use of the property or facilities will not, in any way, interfere with the operations of North Idaho College Head Start or any of the programs or activities of North Idaho Head Start. It is understood that North Idaho College Head Start reserves the right to withdraw or rescind the use of property or facilities with ten days written notice, if required for North Idaho College Head Start purposes.
   
   
3. The activities to be conducted within the NICHS facility shall be designed to foster the attainment of positive educational, cultural, recreational, social or civic goals and shall in no manner be directed to activities which involve or encourage the violation of local ordinances, state statues or federal laws.
   
   
4. Alcoholic beverages will not be consumed or brought onto North Idaho College Head Start property or in its facilities.
   
   
5. Smoking is prohibited at all North Idaho College Head Start facilities and properties.
   
   
6. No improvements or structures will be constructed upon North Idaho College Head Start property or in its facilities unless approved in writing. No stakes, moorings or other objects will be placed in the ground or blacktop if such areas are to be used.
   
   
7. No posters, banners or other informational signage may be attached to walls, doors or windows. Necessary signage must be displayed on easels.
   
   
8. North Idaho College Head Start property, facilities or equipment will be used in a careful and prudent manner so as to prevent any loss, defacement or damage to them. Good order and discipline will be maintained.
   
   
9. No concessions or other items will be sold in or on North Idaho College Head Start property or facilities unless approved in writing.
   
   
10. Within one-half (½) hour after the ending hour of use, the property or facilities will be vacated and left in as good condition as when such use began. Unless payment is made for clean-up and clean-up is specifically requested, the property or facilities will be left in a thoroughly clean condition. Performance of clean-up by North Idaho College Head Start will not diminish any liability for damages.
    
    
11. Refunds or additional payments, if any, will be made within thirty (30) days after use.
    
    
12. A key deposit is required. Failure to return any and all keys issued could result in additional charges.
    
    
13. No person under the age of 18 years will be left unsupervised in the facility.
    
    
14. The requesting organization or individual, agrees:
    
    
    1. To pay for any loss or damages to person or property or claims therefore resulting to or arising from the use of North Idaho College Head Start property or facilities by such organization or individual (and those granted access to the facility thereby) whether from an occurrence at the property or facility itself during such use, before or after such use, going to and from such use, in or about available parking areas, or otherwise,
       
       
    2. In the absence of North Idaho College Head Start to reimburse or hold harmless North Idaho College Head Start, and members, agents and employees thereof from any such loss, damage or claim, including, but not limited to, its or their reasonable attorneys' fees, and
       
       
    3. To pay reasonable attorneys' fees and costs paid or incurred by North Idaho College Head Start to enforce any obligations imposed under this paragraph or otherwise in this application.
       
       
15. The requesting organization shall provide public liability insurance for personal injury and/or property damage as specified:
    Certificate of Liability Insurance in the amount of $500,000. North Idaho College Head Start will be named a certificate holder. This certificate should be received 7 working days prior to the event.
16. Payment for activity is required in full at least 7 working days prior to the event.

It is also understood and agreed that prior to use, the conditions, if any, set forth upon approval of this application must be complied with.

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Complete Request

I have read the Terms & Conditions of Facility Use at North Idaho College and agree to follow such terms if the Facility Use Request is approved. Full Name I,  [full name]     have read the Terms & Conditions of Facility Use at North Idaho College and agree to follow such terms if the Facility Use Request is approved.