Purpose:* Please explain what you will be using our facilities for.
Do you need any of the following additional equipment? Use of the items below could involve additional charges. PA System Scoreboard Announcer Timer
Other Additional Equipment:
Insurance Information Do you (the requesting organization) have a general liability policy? Yes No* If yes, please include a certificate of insurance form from your insurance agent. Include Bolivar-Richburg Central School as certificate holder and additional name insured. ($1,000,000 minimum limit of liability required)
Attach file:
Requesters required to read Conditions and Regulations * I agree on behalf of the above indicated organization that all members and guests will observe the regulations linked above and that we, individually, and as an organization will assume full financial responsibility for any and all damages done to Bolivar-Richburg Central School property during the above indicated period of use. Our organization also agrees to hold harmless and indemnify the District to the fullest extent allowed by law for injuries or property damage caused by our use of the facilities. I have read the Conditions and Regulations and agree to the above terms: Yes *
Please print a copy of this request for your records!