Facility Use Application

Clearview Regional High School District

Certificate of Insurance (naming Clearview as an additional insured), Team Roster (if applicable) and Proof of Non-Profit Status (if applicable) must be submitted with application at least 10 working days prior to your event. May be sent via fax (856-223-8649), email (brownde@clearviewregional.edu), or mail (625 Breakneck Rd., Mullica Hill, NJ).

NOTE: Application will not be processed until all necessary information is received.

Name of Organization
Contact Name *
Contact Email Address *
Mailing Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Contact Phone Number * - (###) - ### ####
Provide number where you may be contacted (cell, home, or work).
Alternate Phone Number - (###) - ### ####
Activity/Event *
Date(s) Requested *

Include day of the week.
Alternate Date(s)

Include day of the week.
Toscano Theatre Location(s) Requested Theatre Concession Stand Ticket Booth Green Room Boys' Dressing Room Girls' Dressing Room
May check more than one location.
Indoor Location(s) Requested HS Large Group Instruction Room (LGI) MS All-Purpose Room HS Gym - New HS Gym - Old HS Gym - Aux. MS Gym HS Cafeteria - New HS Cafeteria - Old HS Cafeteria - Aux. HS Kitchen HS Kitchen - Aux. MS Cafeteria MS Kitchen HS Library/Media Center MS Library Other (explain below)
May check more than one location.
Other:
High School Classroom(s) Requested

Indicate either number of classrooms and/or specific classroom numbers (if known)
Middle School Classroom(s) Requested

Indicate either number of classrooms and/or specific classroom numbers (if known)
Outdoor Location(s) Requested Track/Stadium Tennis Courts JV Baseball (near CVS) JV Field Hockey Girls Practice Field Boys Practice Field Band Practice Field General Practice Field (Jefferson Rd.) JV Soccer Field JV Softball Field Other (explain below)
May check more than one location.
Other:
Time Requested *

Total time including set-up and clean-up (Example: 10:00 am to 2:00 pm)
Actual Event Time *

Actual Event Time (Example: 11:00 am to 1:30 pm)
Number of Participants *
Other Needs (i.e. tables, special set-up, a.v. equipment)
Number of Spectators
Number of Policemen/Security *
Comments/Notes
Use of Clearview facilities will be in accordance with the listed rules, regulations and policies of the Clearview Regional High School District Board of Education. Facility use fees will be determined in accordance with current Facility Fee Schedule.

Facility Use Application

Facility Use Application

Use of Clearview facilities will be in accordance with the listed rules, regulations and policies of the Clearview Regional High School District Board of Education. Facility use fees will be determined in accordance with current Facility Fee Schedule.