APPLICATION FOR USE OF FACILITIES
Dallas School District
2000 Conyngham Avenue
Dallas, PA  18612
P: 570-674-7255 ~ F: 570-675-1809
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Use of School Facilities - Highlights
Applications must be submitted sixty (60) days in advance of the scheduled events. (School-related groups, PTO, student groups, etc. may submit an application thirty (30) days prior to the event.)

Once an application is approved, the Office of the Director of Buildings and Grounds will contact the person who submitted the application.

Should an applicant need to cancel an approved event or withdraw an application, the applicant should contact the Office of the Director of Buildings and Grounds as soon as possible at 570-674-7255.

All custodial costs related to the scheduled event(s) will be the responsibility of the approved organization.

Following approval, questions related to the building, area, equipment, and other logistics should be directed to the administrator of the building at which the event is scheduled. 
DHS Principal: Dan Natitus-- 570-674-7208 -- daniel.natitus@dsdhs.com
DMS Principal: Matt Barr -- 570-674-7245 -- mbarr@dsdhs.com
DIS Principal: Tom Traver -- 570-674-7271 -- ttraver@dsdhs.com
WPC Principal: Brian Bradshaw -- 570-674-7283 -- bbradshaw@dsdhs.com

Questions about the use of athletic facilities should be directed to the Athletic Director.  
DSD Athletic Director:  -- 570-674-7257 -

Questions about the use of the natatorium should be directed to the pool manager.
Matt Stretanski, pool manager -- 570-674-7245 -- mstretanski@dsdhs.com

Use of DSD facilities is governed by Dallas School DIstrict Policy No. 707, revised on April 20, 2020.

Certificates of Insurance detailing coverage in the amounts below shall be submitted with applications.  School-related groups (PTO, booster clubs, etc.) may be exempt from this requirement.  
General Aggregate     $1,000,000
Personal Injury            $   500,000
Property Damage        $     50,000

Revised 9/13/2024
Date of Application *
MM
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DD
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YYYY
Organization *
Applicant Name *
Address *
Phone Number *
Date of Event -- If your event recurs over multiple days, please list start date here, and give an explanation and end date under: "Please specify any additional information that needs to be considered." This is the section right before you sign below. *
MM
/
DD
/
YYYY
Starting Time -- If your event recurs over multiple days and the start/end time is not consistent, please give an explanation and all start/end times under: "Please specify any additional information that needs to be considered." This is the section right before you sign below. *
Time
:
Ending Time *
Time
:
Recurring (Check day(s) of the week) --  If your event recurs over multiple days, please click days here, and give an explanation and end date under: "Please specify any additional information that needs to be considered." This is the section right before you sign below.
Fee Group Classification *
Building or Grounds Requested *
Area of Building or Grounds Requested *
Specific Purpose of Request *
Insurance Company *
Policy # (Copy of policy must be sent to jadams@dsdhs.com) YOUR REQUEST WILL NOT BE PROCESSED WITHOUT A CURRENT CERTIFICATE OF INSURANCE ON FILE. *
Admission Fee for Event *
Anticipated Number of Attendees *
Check the box next to additional equipment/area(s) needed. Additional charges may apply.
Please specify any additional information that needs to be considered. --  If your event recurs over multiple days, please specify an end date and, if applicable, the start/end time for each day (if this isn't consistent over all days).
Signature
By signing this application, the individual whose signature appears below is attesting that he/she has read the rules & regulations regarding DSD facility usage and is accepting responsibility for the group. The individual will see that the buildings are not misused, have adequate adult supervision, and the facilities are used in conformity with the application and rules & regulations as dictated by the Dallas School Board. It is also understood that school activities have priority for the use of the building. This includes activities that have been rescheduled.
Signature of Applicant *
This is my digital signature. *
Required
A copy of your responses will be emailed to the address you provided.
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