DASSEL-COKATO PUBLIC SCHOOLS – I.S.D. #466
Dassel-Cokato High School
4852 Reardon Ave SW, Suite 1600
Cokato, MN 55321-1400
Patti Kampa, Facilities Coord.
Phone (320) 268-4100 x1813
Fax (320) 286-4211
REQUEST FOR USE OF D-C HIGH SCHOOL SWIMMING POOL
Organization ________________________________________ Activity____________________________
Activity Supervisor____________________________________ Phone (Home)_______________________
Mailing Address_______________________________________ Phone (Work)_______________________
_______________________________________ Fax________________________________
_______________________________________ E-mail_____________________________
Day(s) Su
M
T
W
Th
F
Sa
Start Time____________________
Start Date____________________ Ending Date_______________
Ending Time_______________
Expected Attendance_______________
Approximate Age Range
Out-of-District?___________
Will food be served (and if so, what type)?
Notes/Special Requests
Priority – School-related activities have priority over community activities. If necessary to cancel, notice will
be given, and if possible, alternative dates will be arranged.
Note – If reservations must be changed or cancelled, please contact the Facilities Coordinator, at the number
above, as soon as possible.
See back for more information on rules and regulations
I certify that I represent the above organization and am authorized to
accept in its name the responsibility and observance of the rules and
regulations found on the back of this form and in the ISD #466 Facility
Use Procedures and Policies Brochure.
Signature____________________________________________________Date______________________
<< All requests must be submitted in writing at least two weeks in advance >>
<< Requests for groups of 100 or more must be submitted at least four weeks in advance >>
POOL RENTAL CHARGES
Scheduling Fee – All reservations require a $10.00 scheduling fee per time.
Pool Rental Charges - Lifeguard fees include a minimum of two lifeguards. Groups over 50 require additional guards. No
more than 100 people are allowed in the pool at one time.
Pool Rental - $10.00 per hour for non-profit in #ISD 466, $30 per hour for non-profit out of ISD #466
Lifeguard Fees -$45.00 - first hour; $25.00 - additional hours; $20/hr. – each additional guard
ISD #466 FACILITY USE RULES AND REGULATIONS
A. An adult supervisor (permit holder) must be present from the time of entry into the facility until the
time of departure. The pool area is the only area to be occupied.
B. All children must be supervised and in the designated area(s) requested on the permit form during
the entire time of usage.
C. The responsibility and liability for injury to persons or damage to property must be assumed by the
organization and/or the individual making the reservation request.
D. Smoking, drinking, or the possession of intoxicants is prohibited in all buildings and on school
grounds.
SWIMMING POOL RULES
A. Any swimmer under 52 inches MUST be accompanied in the pool by a parent or adult (unless
they have already passed Level 2 Red Cross Swimming Lessons.) Lifejackets or water wings DO
NOT take the place of an adult.
B. We provide enough lifeguards for your safety, according to your request form.
C. Number of swimmers attending rental MUST be stated in advance. If the number exceeds that
stated in your request, some swimmers may be asked to sit out.
D. Please advise your group in advance of the 52 inches tall requirement and remind them that all
general pool rules still apply to a rental group:
 Shower before entering the pool
 Walk
 Follow lifeguard instructions
E. A swimming test may be required in order to swim in the deep end of the pool.
F. Permit holders must check bleacher area, pool deck and locker rooms at the end of the rental
period and remove trash and any items left by the group. If food is being served make sure that
area is cleaned well.
We want everyone to enjoy the Dassel-Cokato High School pool.
Rules need to be enforced to keep every swimmer safe and having fun!
Thank you for your cooperation.