Policies
BP 3510, 3530, 4120 Form A
Based upon Policies and Procedures 3510/3510P, 3530/3530P and 4120/4120P the following form is developed to improve communication, mapping of fund raising activities, and ensure that our community understands and supports established and future program needs of our students and programs.
“Form A” Fundraising Application
1. Name of person submitting application __________________________________________________
2. Group (e.g. HS FFA, Music Booster Club, MOE ASB) ______________________________________
3. Proposed Fundraiser (please be specific). What is the purpose of the fundraiser?
Narrative:
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4. Dates/Times for Fundraiser: ___________________________________________________________
5. Supervision of Students/Activity: _______________________________________________________
6. Estimated Gross Receipts: _____________________________________________________________
Estimated Expenses: _________________________________________________________________
Details of Expenses: _________________________________________________________________
Estimated Net Profit: _________________________________________________________________
7. What are the intended uses of the net proceeds? ____________________________________________
8. What is the educational value of this fundraiser? Be specific: ________________________________
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9. Fundraisers (per BP/Procedures 3530) will not interfere with any educational program.
How will you ensure this is the case?
_____________________________________________________________________________________
10. How will you provide proper accounting of all revenue/expenses? ____________________________
_____________________________________________________________________________________
11. Per the Lake Chelan School District Facility Use Policy, identify your facility needs,
custodial/maintenance, and equipment needs:
*Other: No keys will be given or loaned; Hold Harmless Agreement: The Renter/User hereby agrees to indemnify and
hold harmless the Lake Chelan School District, its appointed and elected
officials and employees while acting within the scope of their duties as such,
from and against all claims, demands, loss, liability of any kind and
character, including costs of defense, arising out of or in any way connected
with the renter/user’s use of the school facilities in this agreement.
Group Insurance Identified (if necessary): ___________________________________________________
*Signatures:
(1) Applicant/group: ___________________________________________________________________
Date: _______________________________________________________________
(2) Principal/Supervisor: ________________________________________________________________
Date: _______________________________________________________________
(3) Superintendent: ____________________________________________________________________
Date: _______________________________________________________________
*Denied due to the following reasons:
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_______________________________________ _____________________________________
Signature of Administrator Date