* Required

Any changes in hours or dates for use of the building must be cleared through the Business Office before access is permitted into the building.

Any cancellations must be made 24 hours prior to use of building or charges may be assessed.

If the school district closes the requested building for any unforeseen emergency, all building use requests will be cancelled.

Max file size: 10 MB

The undersigned, who is in charge, is 21 years of age or over and agrees that he/she will be responsible to the School District of Janesville for the use and care of the school property. He/she further agrees that the character of the entertainment/ use will conform to that stated on the application.


It is understood that the group using the school facilities will provide its own first aid equipment/supplies when in the building.

Every individual, group or organization requesting use of facilities within the scope of this policy and regulations must have an approved Application for Use of School Facilities form before the facility will be available to them.

Rental and custodial charges (if applicable) will be billed after use.


For office use only

Principal Signature / Date


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Chief Financial Officer / Date


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