GKD(EXHIBIT) - COMMUNITY RELATIONS: NONSCHOOL USE OF SCHOOL FACILITIES

LOS FRESNOS CONSOLIDATED INDEPENDENT SCHOOL DISTRICTREQUEST FOR USE OF FACILITIES

School/Location:

Event:

For Organization/Campus:

? Kitchen ? Cafeteria ? State ? Library ? Gymnasium ? Field

Date of Event:

Starting Time: a.m./p.m. to a.m./p.m.

Set-up Time Required: a.m./p.m. to a.m./p.m.

Person In Charge of Setting Up: Phone:

Person Requesting Facility: Phone:

Position With Organization:

Contact Person: Phone:

Rental Fee: Make Checks Payable to Los Fresnos C.I.S.D.

PERSONNEL USE ONLY

Food Service Director's Approval ? Yes ? No

For use of cafeteria/kitchen

Signature: Date:

Theatre Director's Approval? Yes ? No

For use of high school stage/lighting/sound

Signature: Date:

Athletic Coordinator's Approval? Yes ? No

Signature: Date:

Principal's Approval? Yes ? No

Signature: Date:

Executive Director for District Operations' Approval? Yes ? No

Signature: Date:

Superintendent's Approval? Yes ? No

Signature: Date:

LOS FRESNOS CISD FACILITY USE FEE SCHEDULE

Rental fees have been established on a two-hour basis.

Los Fresnos CISD

GKD(EXHIBIT)-X

LDU-26-06

DATE ISSUED: 6/26/2006