Instructions: You can use this form to request the use of a school district facility for a specific date, or dates. Much of the information on the form is required and must be entered before you can submit the form. Please make sure to include any required information before clicking the submit button.

You will receive an email confirming that your request has been submitted. You will also receive an email when the event has been approved by a scheduler.
Required if admission will be charged!
Use the buttons below to set up a recurring schedule of dates between your start and end dates. You can also use the 'Select Individual Dates' option to pick a set of individual dates.


INDEMNIFICATION: Tenant agrees to wholly indemnify, reimburse and hold Landlord harmless from any and all liability and damages which may be incurred on the Property and/or Premises during Tenant's period of possession arising out of Tenant's use and occupancy, as may be caused or arise from the acts, or failure(s) to act, of Tenant, its clients, guests, licensees, agents and invitees.


The District must have a certificate of insurance showing, at a minimum, the following coverage:

Bodily Injury and Property Damage $500,000 Each Occurrence
$1,000,000 Aggregate
Premises Medical Expenses $1,000 Each Person
$25,000 Each Occurrence
Products/Completed Operations $500,000 Each Occurrence
$1,000,000 Aggregate
Fire Legal Liability $50,000 Each Occurrence
Personal Injury and Advertising Liability $500,000 Each Occurrence
$1,000,000 Aggregate

The certificate of insurance must also include the following provision:

1. Horseheads CSD noted as an Additional Insured


Please review your request form carefully and make sure that you have supplied all of the required fields.
You must click the box below before submitting this request form.

I have read, understood, and will comply with all of the Terms above.