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The following organization is requesting to obtain the (Poudre School District)

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Facility Services
2445 LaPorte Avenue
Fort Collins, CO 80521
(970) 490-3333
www.psdschools.org
Developmental Athletic Program
Application
Athletics/Facility Services 03/01/2016
The following organization is requesting to obtain the approved status as a Developmental Athletic Program.
Complete the information on this form and attach all necessary or additional documentation. Once complete,
submit the application to the school principal and athletic director for site approval.
Date
Program Name
School _______________________________________________________________________
Contact
Phone Email
General Information:
Developmental Athletic Programs must comply with FS307 – Developmental Athletic Program Guidelines.
Facility use for Developmental Athletic Programs must be scheduled in accordance with district policy KF –
Use of District Facilities and associated administrative guidelines.
Developmental Athletic Program Description and Details
Please provide a description of the proposed Developmental Athletic Program:
Sport: ______________________________ Grade Level(s): ______________________________
Will a fee be charged? Yes No
If yes, please provide the amount charged and documentation regarding the fee:
Name(s) of PSD employee(s) supervising the program: ______________________________________________
Type of equipment needed: ____________________________________________________________________
Reset Form
Facility Services
2445 LaPorte Avenue
Fort Collins, CO 80521
(970) 490-3333
www.psdschools.org
Developmental Athletic Program
Application
Athletics/Facility Services 03/01/2016
I confirm the Developmental Athletic Program will comply with district policy KF and all associated guidelines.
Program Coach/Clinician Date
Principal/athletic director: Please review, sign, and date, then send the application to the district athletic director,
who will review and determine if the organization will be authorized. The application will then be sent to the
director of facility services and the assistant superintendent of secondary schools for review. If authorized, Facility
Services will assign the organization an authorization number and a copy of the application will be sent to the
organization. If not authorized, a reason will be provided and the application will be returned to the organization.
Site Approval:
Principal Date
School Athletic Director Date
Authorization:
District Athletic Director Date
Director of Facility Services Date
Assistant Superintendent of Secondary Schools Date
OFFICE USE ONLY
Authorized: _________ Not Authorized: _________
If not authorized, provide reason:
__________________________________________________________________________________________
Developmental Athletic Program Authorization Number: __________________________
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The following organization is requesting to obtain the (Poudre School District)

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Completed 14 June 2021

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