Port Carbon, PA · Schuylkill County
Facility Use Request Form
Port Carbon residents and organizations use this form to request a borough facility for a specific purpose, date, and time.
What this form is
The form lets an applicant request use of a park facility, such as a ball field, pavilion, gazebo, senior building, or basketball court. It asks for applicant and organization details, the purpose and age group, requested dates and times, and whether participants will be charged a fee. After approval, the group must provide proof of insurance to the Borough.
Who needs it
A resident or organization seeking to use a Port Carbon Borough facility should complete this request form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This request is signed and dated without a notary; upon approval, the group must provide proof of insurance to the Borough.
How to submit this form
- 1
Download The Form
Download the Port Carbon Borough Facility Use Request Form.
- 2
Complete The Request
Fill in applicant and organization details, facility, purpose, age group, requested dates and times, and fee information; then sign and date.
- 3
Prepare Proof Of Insurance
If the request is approved, the group is required to provide proof of insurance to the Borough.
- 4
Submit To The Borough
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Facility Use Request Form?
- No. The applicant signs and dates the request without a notary. If the Borough approves the request, the group must provide proof of insurance.
- How do I submit the Facility Use Request Form?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the form ask for?
- It asks for applicant and organization details, the requested park facility, purpose, age group, dates and times, and whether participants will be charged a fee.
- What happens after I submit the request?
- The form says the Borough will send official notification of approved dates, fees, times, and facilities. Approved dates may differ from the dates requested.