Rental Application

Please complete the application and submit at least 30 days prior to date of use by clicking the submit button below, or mail to 951 Walnut Street Evansville, IN 47713, along with the required certificate of insurance as outlined below. Please be specific regarding dates and times.

Please review all general conditions and fees prior to submitting the application. The organization will be required to observe all guidelines and assessed all applicable fees unless otherwise notified by the Office of Operations.

Once the Office of Operations reviews the application, you will be notified for final approval.

If you have any questions regarding facilities use please call at (812) 435-­‐845. 

Applicants MUST submit certificate of insurance (COI) to [email protected]. Each COI must name the Evansville Vanderburgh School Corporation as an additional insurer. Any application failing to include a COI at the time of submittal will be denied.


EVSC Facility Usage

Organization: 

School Requested: 

Contact Person: 

Area/Room(s) Requested: 

Address: 

Date(s) Requested 

Time(s) Requested: 

Phone:

Cell Phone:

Email: 

Purpose/Activity:

 

AV Equipment?

If Yes, specify needs:

 

PA Equipment?

If yes, specificy Needs:

 

Light & Sound?

If yes, specify needs:

 

Number of Restrooms Open?

Specify Locations:

 

Tables?

Specify Locations and Quantity:

 

Chairs:

If yes, specify locations and quantity:

 

Kitchen Use (see General Conditions) 

Concession Agreement (See Item 11): 

Admission Charge?

If yes, Amount:

Donations Accepted?

If yes, Recipient?

 

Signature: By typing my name below, I have read and accepted the general conditions, understand the fee structure and have emailed my Certificate of Insurance.

Signature:

Date:



Security Measure