Request for Use of Facilities
School Committee Meeting
10/22/26
Requested by Julian Taylor from Synergy Basketball for use of the Bradford Elementary gym on Tuesdays, Thursdays and Fridays from 10/27-11/20/26 from 6:15pm-9:15pm.
Rental Fees As Negotiated: $75/Hour
Requested by Alana Ocasio from Ocasio’s TMA, opens in a new tab for use of the Hunking gym on Friday 11/06 from 6pm-7:30pm and Saturday 11/07 from 9am-12:30pm.
Rental Fees: $175/Hour
Custodial Fees: 30/Hr (Friday)/$45/Hr (Saturday)
Utilities Fee: $20/HourRequested by Boston Church of Christ for use of the High School auditorium on Sunday 11/01/26 from 8am-1pm.
Rental Fees: $210/Hour
Custodial Fee: $45/Hour
Utilities Fee: $20/Hour
AV/Tech Fee: $30/Hour
Haverhill Public Schools
Use of Facilities Form
Synergy Basketball LLC — Bradford Elementary Fall 2026
Please Print
| Name of Organization: | Synergy Basketball LLC |
|---|---|
| Name of Representative: | Julian Taylor |
| Address: | 378 South Main, Bradford , Ma,01835 |
| Date Requested: | Tuesday only Bradford Elementary: September Oct: Nov:3rd,10th,17th |
| Arrival Time: | 6:15PM |
| Start Time of Event: | 6:30 |
| End Time of Event: | 9:15pm |
“22nd” is ringed by hand, with a line drawn to the note under the signatures.
Please check: ( ) Profit Making Group ( ) Non-Profit Group #____________________
Please check off the location requested and attach list of equipment to be brought into the facility.
BRADFORD Elementary Fall 2026
| Gym | #of Classroom(s) | Cafeteria | Auditorium | Library | Fields | Computer Lab |
|---|---|---|---|---|---|---|
| X |
| Expected Number of Participants:# | |
|---|---|
| Type of Event: |
To be filled out by HPS facilities only
| Item | Base Fee | Hours | Sub Total | Total | Additional Info |
|---|---|---|---|---|---|
| Rental Fee | $ 75 | 3 | $ 225 | $ 900 | |
| Security | $ | $ | $ | ||
| Custodial | $ | $ | $ | Custodial staff work 30 minutes before and after event. | |
| Utilities | $ | $ | $ | ||
| Lighting Panel | $ | $ | $ | ||
| Cafeteria | $ | $ | $ |
| Subtotal | |
|---|---|
| Processing Fee | $10.00 |
| Balance Due |
| Signature of Representative | Julian Taylor |
|---|---|
| Date Requested | 09/03/2026 |
| Signature of Principal |
Principal Authorization: Approved (✓) Denied ( )
School Committee : Approved ( ) Denied ( )
Written under the signatures: September 22nd will not work! We have an event, per our conversation.
| HPS FACILITIES | PHONE | WEB |
|---|---|---|
| 4 Summer Street, Room 104, Haverhill, MA | 978-374-5725 | haverhill-ps.org |
Synergy Basketball LLC — Bradford Elementary Fall 2026 Thursday
Please Print
| Name of Organization: | Synergy Basketball LLC |
|---|---|
| Name of Representative: | Julian Taylor |
| Address: | 378 South Main, Bradford , Ma,01835 |
| Date Requested: | Thursday Only Bradford Elementary: September : Oct:1, Nov:5th,12,19th |
| Arrival Time: | 6:00PM |
| Start Time of Event: | 6:15pm |
| End Time of Event: | 9:15pm |
Please check: ( ) Profit Making Group ( ) Non-Profit Group #____________________
Please check off the location requested and attach list of equipment to be brought into the facility.
BRADFORD Elementary Fall 2026 Thursday
| Gym | #of Classroom(s) | Cafeteria | Auditorium | Library | Fields | Computer Lab |
|---|---|---|---|---|---|---|
| X |
| Expected Number of Participants:# | |
|---|---|
| Type of Event: |
To be filled out by HPS facilities only
| Item | Base Fee | Hours | Sub Total | Total | Additional Info |
|---|---|---|---|---|---|
| Rental Fee | $ 75 | 3 | $ 225 | $ 900 | |
| Security | $ | $ | $ | ||
| Custodial | $ | $ | $ | Custodial staff work 30 minutes before and after event. | |
| Utilities | $ | $ | $ | ||
| Lighting Panel | $ | $ | $ | ||
| Cafeteria | $ | $ | $ |
| Subtotal | |
|---|---|
| Processing Fee | $10.00 |
| Balance Due |
| Signature of Representative | Julian Taylor |
|---|---|
| Date Requested | 09/03/2026 |
| Signature of Principal |
Principal Authorization: Approved (✓) Denied ( )
School Committee : Approved ( ) Denied ( )
| HPS FACILITIES | PHONE | WEB |
|---|---|---|
| 4 Summer Street, Room 104, Haverhill, MA | 978-374-5725 | haverhill-ps.org |
Synergy Basketball LLC — Bradford Elementary Fridays Fall 2026
Please Print
| Name of Organization: | Synergy Basketball LLC |
|---|---|
| Name of Representative: | Julian Taylor |
| Address: | 378 South Main, Bradford , Ma,01835 |
| Date Requested: | Friday Only Bradford Elementary : September: Ocotber Nov:6th,13th,20th |
| Arrival Time: | 6:15PM |
| Start Time of Event: | 6:15PM |
| End Time of Event: | 9:15pm |
Please check: ( ) Profit Making Group ( ) Non-Profit Group #____________________
Please check off the location requested and attach list of equipment to be brought into the facility.
Bradford Elementary Fridays Fall 2026
| Gym | #of Classroom(s) | Cafeteria | Auditorium | Library | Fields | Computer Lab |
|---|---|---|---|---|---|---|
| X |
| Expected Number of Participants:# | |
|---|---|
| Type of Event: |
To be filled out by HPS facilities only
| Item | Base Fee | Hours | Sub Total | Total | Additional Info |
|---|---|---|---|---|---|
| Rental Fee | $ 75 | 3 | $ 225 | $ 900 | |
| Security | $ | $ | $ | ||
| Custodial | $ | $ | $ | Custodial staff work 30 minutes before and after event. | |
| Utilities | $ | $ | $ | ||
| Lighting Panel | $ | $ | $ | ||
| Cafeteria | $ | $ | $ |
| Subtotal | |
|---|---|
| Processing Fee | $10.00 |
| Balance Due |
| Signature of Representative | Julian Taylor |
|---|---|
| Date Requested | 09/03/2026 |
| Signature of Principal |
Principal Authorization: Approved (✓) Denied ( )
School Committee : Approved ( ) Denied ( )
| HPS FACILITIES | PHONE | WEB |
|---|---|---|
| 4 Summer Street, Room 104, Haverhill, MA | 978-374-5725 | haverhill-ps.org |
Ocasio’s TMA
Written in the top margin: Hunking
Please Print
| Name of Organization: | Ocasio’s TMA, opens in a new tab |
|---|---|
| Name of Representative: | Alana Ocasio Kim Ocasio |
| Address: | 76 Merrimack st Suite 14 haverhill |
| Date Requested: | Friday November 6 Saturday November 7 |
| Arrival Time: | 6pm 9:00am. |
| Start Time of Event: | 6:15. 9:30am. |
| End Time of Event: | 7:30pm 12:30pm |
Please check: ( ) Profit Making Group ( ) Non-Profit Group #____________________
Please check off the location requested and attach list of equipment to be brought into the facility.
| Gym | #of Classroom(s) | Cafeteria | Auditorium | Library | Fields | Computer Lab |
|---|---|---|---|---|---|---|
| X |
| Expected Number of Participants:# | |
|---|---|
| Type of Event: | Belt grad (Fri) Fundraiser to feed those in need (sat) |
To be filled out by HPS facilities only
| Item | Base Fee | Hours | Sub Total | Total | Additional Info |
|---|---|---|---|---|---|
| Rental Fee | $ 175 | 5 | $ | $ 875 | |
| Security | $ | $ | $ | ||
| Custodial | $ 30 45 | 1.5 3.5 | $ 45 — 157.50 | $ 202.50 | Custodial staff work 30 minutes before and after event. |
| Utilities | $ 20 | 5.0 | $ 100 | $ 100 — | |
| Lighting Panel | $ | $ | $ | ||
| Cafeteria | $ | $ | $ |
| Subtotal | |
|---|---|
| Processing Fee | $10.00 |
| Balance Due |
| Signature of Representative | |
|---|---|
| Date Requested | |
| Signature of Principal |
Principal Authorization: Approved (✓) Denied ( )
School Committee : Approved ( ) Denied ( )
| HPS FACILITIES | PHONE | WEB |
|---|---|---|
| 4 Summer Street, Room 104, Haverhill, MA | 978-374-5725 | haverhill-ps.org |
Boston church of Christ
Please Print
| Name of Organization: | Boston church of Christ |
|---|---|
| Name of Representative: | Annie Rivera |
| Address: | 214 Concord Street Framingham MA 01701 |
| Date Requested: | Sunday 11/01/26 |
| Arrival Time: | 8:00 am |
| Start Time of Event: | 10 am |
| End Time of Event: | 1:00 pm |
A typed date beginning “10/” is struck out under the handwritten one and cannot be read.
Please check: ( ) Profit Making Group (XX) Non-Profit Group # 042-494-881
Please check off the location requested and attach list of equipment to be brought into the facility.
| Gym | #of Classroom(s) | Cafeteria | Auditorium | Library | Fields | Computer Lab |
|---|---|---|---|---|---|---|
| 2 | XX |
| Expected Number of Participants:# | 150 |
|---|---|
| Type of Event: | Church Service |
To be filled out by HPS facilities only
| Item | Base Fee | Hours | Sub Total | Total | Additional Info |
|---|---|---|---|---|---|
| Rental Fee | $ | $ | $ | ||
| Security | $ | $ | $ | ||
| Custodial | $ | $ | $ | Custodial staff work 30 minutes before and after event. | |
| Utilities | $ | $ | $ | ||
| Lighting Panel | $ | $ | $ | ||
| Cafeteria | $ | $ | $ |
| Subtotal | |
|---|---|
| Processing Fee | $10.00 |
| Balance Due |
| Signature of Representative | Annie Rivera |
|---|---|
| Date Requested | 10/16/2026 |
| Signature of Principal |
Principal Authorization: Approved (X) Denied ( )
School Committee : Approved ( ) Denied ( )
| HPS FACILITIES | PHONE | WEB |
|---|---|---|
| 4 Summer Street, Room 104, Haverhill, MA | 978-374-5725 | haverhill-ps.org |