Facility Rental Agreement Form


Application for use of School Auditoriums, Gymnasiums, Other Building Facilities

1. Rental Fees: Youth Groups - $40.00 per hour
Adult Groups - $55.00 per hour
Outside Groups - $75.00 per hour

(Above rates will include ½ hr. opening and closing fee in addition to 10% administrative fee)

2. Auditorium Fees (paid in addition to hourly fees quoted above): High School Auditorium - $200.00 a day Middle School Auditorium - $100.00 a day.

3. There will be additional time charged for extraordinary cleaning and replacement of furniture on the premises or if the rentee had not left the building by the time noted on the approved application.

4. Charges for the rentals are due and payable two (2) weeks in advance of the rental.

5. In the case of new rentees payment will be in the form of a personal check, money order, bank or cashiers check– NO CASH will be accepted. Any checks returned to the City of Quincy as unpaid for any reason will incur a charge of 1% of the face amount of the check or $25.00, whichever is greater. (Mass. General Laws: Chapter 432 of 1989).

6. All rentee groups will provide identification with their names, addresses, telephone numbers, both home and place of business.

7. Please note on your check.
- The name of the rental group as it appears on your permit.
-The name of the school you rented.
-The date and time of the rental.

Please make check payable to: CITY OF QUINCY/QUINCY PUBLIC SCHOOLS
And Mail to:
Mr. Kevin P. Segalla Fax: 617-984-8659
Quincy Public Schools
34 Coddington Street
Quincy, MA 02169

1. Unless the rental group notifies this Office at (617) 984-8852, two days prior to the rental date, the group shall be charged above fees. If the rental group fails to arrive up to 1 hour after the appointed start time of the rental and has not notified the Office, the rental group will be charged the above fees.

2. There shall be no rentals on the following days: the day before Thanksgiving, Thanksgiving Day, Christmas Eve, Christmas Day and the day before New Year’s and New Year’s Day.

3. In the event of snowstorms, and your school is cancelled Channel 22, all rentals will be cancelled. In the event of approaching snowstorms and you have an evening rental; listen to TV for possible cancellation.

4. Occasionally it is necessary for Q.P.S. to cancel a rental because of an educational scheduling conflict. We will attempt to give you as much notice as possible; however, it is very necessary for us to have the telephone numbers at your home and place of business in order for us to reach you during the day.

1. Any damage to building, equipment or grounds shall be paid for by renting party.

2. Selling or serving of soft drinks, candy, ice cream, etc. is not permitted except by special permission. Alcoholic beverages are not permitted in school buildings or on school property.

3. Profanity, objectionable behavior or smoking is not permitted in school buildings or on school property.

4. Unpaid bills will be turned over to the City Solicitor’s Office. Failure to comply with School Committee Regulations will result in termination of the rental and will prohibit future
rentals to the person or organization.

Enter your First and Last Name or Organization making the request:

Enter your Address:

Enter your Email Address:

Enter your Phone Number Home/Work/Cell (xxx-xxx-xxxx):

Enter the name of the Facility you wish to Rent:

AuditoriumGymnasiumCafeteriaLocker RoomShowersClassroomsOther

Enter the Dates you wish to Rent the Facility:

Enter the total hours you wish to use the Facility:

Enter the time you need the doors to open at:

(Renter will be charged ½ hr. before and after for opening and closing of building)

If admission fee is being charged, indicate amount:

Please give a brief description indicating specific use of the facility:

I, the undersigned representative of the above named organization, have read the regulations (on reverse side) concerning community use of school property and agree that the organization, or persons, or person, making the request will adhere to there regulations.

I further state that the organization I represent does not discriminate against the handicapped.

The City of Quincy and the Quincy School Committee are not responsible for injuries sustained by users of this facility. Applicants and users of Gymnasiums and Facilities assume all risks of related injuries.

The digital signatory acknowledges receipt of Section 17,18, & 19 of MGL Chapter 665 – Copy attached.

Title IX Continuing Policy Statement Quincy Public Schools does not discriminate on the basis of race, color, sex, religion or national origin in its educational activities or employment practices as required by Title IX of the 1972 Federal Education Amendments.