Facility Rental Request Form - Madison Metropolitan School District

Facility Rental Request FormSubmit Completed Form beginning July 1, 2013, for rentals mid-Sept. 2013 – June 13, 2014Confirmation of rentals, begins after Labor Day: Rentals begin approximately mid-SeptemberFACILITY RENTALS – 5625 Odana Road, Madison, WI. 53719*(608) 442-1346* FAX: (608)442-1343Website: http://drupal.madison.k12.wi.us/FacRent.htmOrganization/Group Name:______________________________________________________________________________________________List Specific Activity or Purpose:__________________________________________________________________Expected Attendance:____________ E-mail address: _________________________________________________Contact Person: _________________________________________________________________________________Home Phone:_________________________ Work Phone:_______________________________________________Cell: _____________________________________ Fax: _______________________________________________Address: ______________________________________________________________________________________________________________________________________________________________________________________City State ZipComplex (School): ________________________________ *Facility (Room):_______________________________Renter must have approval from Facility Rental Office to serve any FOOD/BEVERAGE, and must request use ofcafeteria. Check here _____Rentals DO NOT Include use of MMSD Equipment.Microphone qty. _______ TV/DVD qty. ________ Other requests/comments _______________________________Adult Youth Is group primarily Madison Metropolitan School District residents? Yes NoMust provide copy of State of WI Charitable Organization Credential or copy of IRS Letter of Determination forCharitable Non-Profit status 501(c)3REQUESTS MUST SUBMITTED 2- 3 WEEKS PRIOR TO EVENT OR FIRST DAY OF USE2014 DatesBeginTime2013 Dates(Rentals begin approximately mid-September)(Rentals End June 13, 2014)EndTimeSeptemberOctoberNovemberDecemberJanuaryFebruaryMarchAprilMayJuneINDICATE SPECIFIC DATES. TIME MUST INCLUDE YOUR SETUP AND CLEANUP TIME*High school auditorium and pool rentals require additional paperwork to be completed.