FACILITY USE APPLICATION AND AGREEMENT

4650 West Sweetwater Avenue - Glendale, AZ 85304

Please complete in full as directed by "WESD Facility Use Handbook"


REQUEST

Request Details

12/3/2021 (two weeks notice required)

Special Requests

If selected, please fill out and attach this form - WESD Event Security Request Form
If selected, please fill out and attach this form - WESD Special Event Food Regulations
If selected, please fill out and attach this form - WESD School Kitchen Use Request Form

Event information

Note:Usage during non-school days is dependent upon custodial availability. A 48 hour cancellation notice is required.

(Custodial charges are 1/2 hr. before through 1/2 hr. after use time. 2 hour minimum required.

Note: WESD Security is required for events exceeding 250 attendees.

Assurances

I have read and will comply with the guidelines listed in the WESD Facility Use Handbook WESD Facility Use Handbook
I have read and will comply with AZ Concussion Law LEGAL REF: A.R.S 15-341 15-802.01 (if applicable)
I understand that a policy of General Liability Insurance coverage, with WESD listed as Additionally Insured, must be maintained during all scheduled use of WESD facilities
         Current certificate on file with WESD E-mail certificates to Erika Williamson
I understand that an invoice for all applicable fees will be e-mailed to me separately from the WESD Facility Use approval and all invoices are due upon receipt.
I understand that a $10 Late Payment Fee will be charged each month for all invoices outstanding 60 days or more.
I understand that upon final approval, the final facility use approval will be e-mailed to me as confirmation. I will print the final facility use approval e-mail and have a copy available to present during all use of the WESD facilities.
I will report safety and/or security issues such as vandalism and trespassing on school campuses, water main breaks and/or other nonlife-threatening emergencies, to the campus custodian or WESD Security at 602-347-4848. This number is accessible 24 hours a day, seven days a week. I also understand that in the event of an emergency, I should call 911.

Electronic Signature Agreement

By selecting the "Submit" button, you are signing this Agreement electronically.

You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By submitting this request you consent to be legally bound by this Agreement's terms and conditions.

You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide this signature regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing.

You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting request of Washington Elementary School District #6.

You also represent that you are authorized to enter into this Agreement for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this Agreement.


Signature of Representative of Organization Date