Facility Reservation Request

Facility Coordinator - Regan Little - 507-867-4210 x5021

rlittle@chatfieldschools.com

Online Facility Requests

Please follow the steps below to request use of district facilities

**Facility Requests may take up to eight school days for approval**
- Organization Name*
- Contact Information*
  
  First NameLast Name
- Contact E-mail*
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Event*
- Event Date*
  
  MonthDayYear
  Date
- Additional Dates
- Building*
- Building & Room*
- Elementary Rooms*
  
  GymCafeteriaLibraryMedia Center LabStem SpaceArt RoomBand RoomConference RoomPre-K Multi1-3 Multi4-6 MultiOther
- High School Rooms*
  
  GymMulti Purpose RoomMain CafeteriaSmall CafeteriaWrestling RoomWeight RoomForum RoomStaff LoungeConference RoomPrincipals Conference RoomKitchenLinc Main RoomLinc Bronte Room cap:4Linc Chaucer Room cap:3Linc Dickens Room cap:8Linc Eliot Room cap:6Linc Frost Room cap:4Room 119Other
- Set-up Time
  
  :HourMinutesAM/PM Option
- Event Start Time*
  
  :HourMinutesAM/PM Option
- Event End Time*
  
  :HourMinutesAM/PM Option
- Approx # Attending
- Event Supervisor Name*
  (Must be present at all times)
- Supervisor Cell Phone #*
- Equipment and Set-Up Requests
- Technology Needs
  
  Wireless MicMusic / MP3 connection (bring your own adaptor/cable)Podium w/mic (no PC needed)Podium w/mic (PC needed)Projector (with Podium PC connected)Projector (connect your own PC)Corded mics for speakingCorded mics for recordingDesktop mics (Forum room)Record / Livestream by CCTVOther
- ***NOTE***
  
  You must bring your own adapter and cord for the device you want to connect to the sound system. The School doesn't know what device type you are using, so we do not supply the cord needed for your device.
  
  Your cord will need to connect to a Dual RCA connection like this:
- I understand that I must bring my own device adapter and cord. The school will not supply an adapter or cord for my device.*
  
  YES
- ***NOTE***
  
  If you would like CCTV to Record or Livestream this event, make sure you contact damon@chatfieldschools.com with your request as soon as possible. If it is a non-school related event, there may be a fee to cover labor costs for operators.
- Do you need any doors unlocked?
  
  YesNo
- Door lock request
- Do you have an insurance liability waiver on file in the district office?*
  
  YesNo
- Liability Insurance Carrier:
- Policy Number:
- Attach copy of Insurance Policy
  
  Upload a File
  
  Cancelof
- Additional Notes:
- Signature*
- User fee
  
  Class I (No fee)Class IIClass 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
- Sender Email
- Should be Empty: