User Group Agreement

User Group Agreement

This agreement accompanies the formal User Group Policy #7.0 which outlines the responsibilities of user groups accessing the school facilities and or gymnasium for special events, including summer months when school is not in session. Please note that when school is in session, the Municipality handles the scheduling, and during the summer months, the IDEA handles the scheduling.

Read through the POLICY and the attached agreement. Return only the signed User Group Agreement to the Hamlet or IDEA and keep the POLICY for your records.

Please indicate below the dates and times you require the facility, which facility you want and the reason for the event.

If you have any questions, please contact:
 * Municipality of Cambridge Bay Recreation Coordinator, Fred Muise at or
 * Ikaluktutiak District Education Authority, Chairperson,

Required information
Name of Group Requiring Access: ___________________________________________________

Contact Person & Phone Number: ____________________________________________________

Kullik Ilihakvik School or Gymnasium – please specify: __________________________________ (Note if you require use of kitchen, classrooms, gym storage, equipment, etc.) ________________________________________________________________________________

Kiilinik High School or Gymnasium – please specify: ____________________________________ (Note if you require use of kitchen, classrooms, gym storage, equipment, etc.) ________________________________________________________________________________

Dates and Times of Usage: __________________________________________________________

Purpose / Special Event: ____________________________________________________________

I do hereby agree that I have read and understand School User Group Policy #7.0 for the Ikaluktutiak District Education Authority for the use of the school facilities.

I do hereby agree to review this policy with all members of my user group and have them sign accordingly.

By signing this document I hold myself responsible for my scheduled user group and/or special event participants. In the event of any disagreement over the terms of this policy the interpretation of the IDEA will prevail.

_________________________________  _________________________________   _____________ Recreation Coordinator                                  Signature, Rec Coordinator                         Date OR Representative, IDEA                                    Signature, IDEA

_________________________________  _________________________________   _____________ User Group/Special Event                             User Group/ Special Event                            Date Representative Name                                   Representative Signature

NAMES, SIGNATURES and CONTACT INFORMATION OF THE GROUP REPRESENTATIVE(s) as well as ALL THOSE PERSONS FROM THE GROUP WHO MAY BE GIVEN THE KEYS and/or BE IN CHARGE of OPENING/CLOSING DOORS FOR THE USER GROUP.

_________________________________  _________________________________   _____________ Representative Name                                    Representative Signature                            Contact Phone/e-mail

_________________________________  _________________________________   _____________ Representative Name                                    Representative Signature                            Contact Phone/e-mail

_________________________________  _________________________________   _____________ Representative Name                                    Representative Signature                            Contact Phone/e-mail

_________________________________  _________________________________   _____________ Representative Name                                    Representative Signature                            Contact Phone/e-mail

CLEANING CHECKLIST FOR USER GROUPS
PLEASE INITIAL AND RETURN THIS AGREEMENT TO SHOW THAT YOU UNDERSTAND YOUR RESPONSIBILITIES. A copy of this cleaning checklist is also attached to the Policy which you are to keep as a reference.

DAMAGE REPORT FOR USER GROUPS There is a Damage Report Form at both schools that you must agree to fill out and leave under the school administration door (main office) should any damage occur to school property during your usage.

Please initial this page below to show that you understand the damage reporting procedures and that you agree to abide by them.

A Damage Report Form is also attached to the Policy which you are to keep as a reference.

Initials: _____________