Sol. C. Johnson Athletic Facilities Usage

Request Form (Internal Form)

This document is in accordance with Savannah Chatham Public School System Board of Education Policy and Procedures

Please fill this from out completely. Not filling this form out in its entirety can lead in a delay of your request. Please remember that you must fill out an External Form after your request has been approved by Sol C. Johnson High School. An External Form must be completed and turned in to SCCPSS Board of Education for final approval. All External Forms can be found on the district website at

Today’s Date: ____/____/____ / Event Date: ____/____/_____
Alternate Date(s): / Name of Person Responsible:
Time Event Begins: / Time Event Ends:
Event Sponsor: / Event Sponsor Contact Information (telephone and email address):
Person Responsible Contact Information (Fill in if the event sponsor is not responsible for the event): / Intended Use of the Facility:
Will there be any admission charge? (Circle) YES OR NO / Estimated Attendance:
Will there be music? (Circle) YES OR NO If yes (Circle), LIVE or DJ / Personnel Needed:
Supplies & Equipment Needed: / Other (describe):

Facilities to be used: (Circle all that apply)

Baseball Field / Boy’s Locker Room
Concession Stand / Girl’s Locker Room
Gymnasium / Football Field
Softball Field / Weight room

Will organization be giving a donation? (Circle) Yes or No

If yes, amount: $ ______

Terms and Agreement

The Sol C. Johnson Athletic Facilities are shared spaces that are used by internal and external personnel. In order to avoid scheduling conflicts and to properly maintain these areas, all those requesting use of space is expected to:

  • Submit to the administrative secretary a Facility Use Contract at least two weeks prior to the event. However, this may not guarantee the reservation. Written confirmation will be provided to the even sponsor.
  • Arrange for security (if necessary) and for a custodian. NOTE: The school will not assume overtime costs unless it is an authorized school-sponsored activity or costs are approved by the principal.
  • Set-up of the space is the lessee’s responsibility, unless agreed upon in advance. The lessee may bring in additional materials for the event, but do not remove items from Room 918, the gym classroom, the concession stands or any other area without prior permission from the principal or athletic director.
  • Inform the space holder and administration IMMEDIATELY if something is damage or broken so that a work order can be filed and space maintained.
  • Refrain from entering the sound booth, the media storage rooms, the athletic storage areas, or the cafeteria kitchen area without permission from the principal, the space holder, Ms. Cerrato (Media Center Specialist) or Ms. Tremble-Hamer (Athletic Director).
  • Leave the space clean and organized.

By signing this agreement, you acknowledge that you have read and understand the contents within.

I, ______, agree to the terms and policies stated in the above contract. Furthermore, I acknowledge that by breaking any of the above stated policies, I will be personally held accountable and any further use of the space may be denied.

Person requesting usage approval: ______

(Print Name)

(Signature)(Date)

FOR OFFICAL USE ONLY

Status: Usage approved Usage denied

Date Received: ____/____/____
SAF Bookkeeper Initials: / Administrative Secretary Initials:
Athletic Director Signature:Date: ____/____/_____
Principal Signature:Date: ____/____/____
Date Confirmed: ____/____/____ / Date Placed on the Calendar:
____/____/____
Comments:

SCJ Athletics DepartmentPage 1SCJ Internal Facility Form