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Facilities Usage Request Form

Please complete the form below. Required fields marked with an asterisk *

Application to Tabernacle Township Board of Education, Tabernacle, New Jersey, for the use of Public School Buildings and Grounds by Non-School Groups and Organizations for Education, Cultural, and Recreational Purposes.

It is the policy of the Tabernacle Township School Board to make its school facilities available to all non-school groups and organizations of Tabernacle Township. Such use, however, is subject to certain rules and regulations which are contained within this application form. (Regulation 7510 - Use of School Facilities)

Following Board approval, it is the group's responsibility to notify the school district if scheduled events/meetings are cancelled. Groups must call 609.268.0153, ext. 1024 prior to 3:00 p.m. Monday through Friday. Cancellations determined after 3:00 p.m. or on weekends must be called into our Facilities Manager at 609.870.1561.

Groups who regularly cancel meetings without notifying the school district in advance may not be afforded consideration for future facilities use.

For Youth Sports and Organizations, such use, however is subject to certain rules and regulations which are contained within Policy and Regulation 2431.4 – Prevention and Treatment of Sports-Related Concussions and Head Injuries.

Name of Organization*

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Date of Application*

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The undersigned hereby makes application for use of*

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Tabernacle Elementary School

Kenneth R. Olson Middle School

Dates Requested*

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Time Requested*

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Rooms Requested*

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The following equipment is requested*

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This application is made for the purpose of*

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Please indicate per person if an admission fee will be charged*

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The funds obtained are to be used for the following purpose*

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IMPORTANT: The Facilities' usage rates for custodial coverage not already on duty is $60.00 an hour (e.g. weekends/school holidays). There is also an additional charge of 1/2 hour before and 1/2 hour after for custodial setup/cleanup. Please make check payable to the "Tabernacle BOE" and remit once Board approval is received. Send to: Business Administrator, Tabernacle School District, 132 New Road, Tabernacle, NJ 08088.

When the application is submitted, the applicant must submit proof of insurance coverage. Certificate of Insurance can be emailed to [email protected], faxed to (609) 268-1006 or mailed to Kenneth R. Olson Middle School, 132 New Road, Tabernacle, NJ 08088 - Attn: Judy Endt

Name of Person in Charge*

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Address*

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Phone Number*

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Email Address*

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Electronic Signature - Please type your First and Last Name*

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