| Name: | Date of Application: |
| Athletic Property Requested: | If other, Define: |
| Date Requested: | |
| Beginning Date: | Ending Date: |
| Custodian Required: Yes No | |
Purpose of Use
| |
| Will there be an admission fee or charge? Yes No | Amount: |
| Total Fee Payable to GPS: | |
| Contact Name: | Address: |
| Email: | Phone #: |
Signature: (type name to acknowledge) | |
Proof of Liability Insurance: Yes (Bring a copy to Athletic Director) | Proof of Accident Insurance: Yes (Bring a copy to Athletic Director) |
Print the following facilites agreement, sign and return to the Athletic Director /userfiles/Servers/Server_18677594/file/facilities_agreement.pdf | Read and acknowlege the following liability agreement /userfiles/Servers/Server_18677594/file/Use%20of%20Facilities-%20Liability%20Ins_.pdf Acknowlege: Yes No |