Facility Reservation Request

Facility Coordinator - Patti Obey - (507) 867-3265 pobey@chatfieldschools.com

Online Facility Requests

Please follow the steps below to request use of district facilities

**Facility Requests may take up to 5 school days for approval**

Step 1 - Verify availability of the facility with the calendar below

Step 2 - Fill out your information
Organization Name
Contact Information *

First Name Last Name
Contact E-mail *

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Step 3 - Tell us about the event
Event: *
Dates Requested: *
Building & Room *
Set-up Time
Event Time *
Approx # Attending
Event Supervisor Name *
(Must be present at all times)
Supervisor Cell Phone # *
Equipment and Set-Up Requests
Does this event generate revenue *

Yes No
Do you have an insurance liability waiver on file in the district office? *

Yes No
Liability Insurance Carrier:
Policy Number:
Attach copy of Insurance Policy

Step 4 - Agree to Terms, Sign, and Submit
Signature *

Office Use Only
User fee

Class I (No fee) Class II Class III
User Fee
Custodial/Supervisor Hours @ $20/hr
Total Amount Due
Date Payment is Rec'd
Facility Coordinator Signature
Building Principal Signature
Activities Director Signature
Should be Empty: