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Fee Reduction Request Form On Application For Use Of School Facilities - Cudahy School District

Fee Reduction Request Form

on Application for Use of School Facilities

Today’s Date:

___

Application No.:

Facility Requested:

Area:

Applicant Name:

Email:

Applicant Contact Phone Number(s):

Applicant Mailing Address:

Organization Making Request:

Please provide reason(s) why you feel the applicable fees should be reduced.

Applicant Signature:

I attest that my written statements I have provided are accurate to the best of my knowledge.

Please reference Cudahy School Board Policy Section F on School Facilities, specifically,

FA School Facility Usage – Procedures and FB School Facility Usage - Fee Schedules, which may

be reviewed on the District website at , under School Board Policies.

For Office Use Only

Anticipated School Board Action:

(date)

Request for Reduction of Applicable Fees granted: Yes

Percentage:

Classification: Class A B C D E F

Supplemental Assurances Form Received: Yes

Certificate of Insurance on File:

Yes

Administrative Recommendation:

Administrative Signature

Fee Reduction Request Form On Application For Use Of School Facilities - Cudahy School District