REQUEST FOR USE OF DENTON COUNTY FACILITIES
Facility Requested:
Date Requested:
I would like to have the facility open at
, and closed at .
The facility will be used for the following purpose(s):
.
It is hereby understood and agreed that the below named individual or
organization(s) will assume responsibility for the repair or replacement of any Denton
County premises and/or equipment which might be damaged during the license period. It
is also understood that the security deposit may be forfeited for failure to comply with the
Denton County Building Use Policy.
Licensee:
Signed by:
(Organization Liaison – Signature and Printed Name)
Address, CSZ:
Phone Number:
Rental Fee: Deposit:
Please return forms and fees to: Denton County, Aide-to-the-Court, 110 W. Hickory St.,
Denton, TX 76201
Date Received: By:
Agenda date: Approved/Unapproved
Special Requirements: