Request a Club

School Information
School name:
School Address:
Type of School:
(choose 1)

For non-public institutions, we request a donation.

Contact Information
Contact name:
Affiliation to School:
Contact Email Address:
Contact Phone Number:

School's Contribution
DSBK will provide volunteers to lead the activities, but 1 school adult volunteer per 7 children helps us focus on student learning instead of behavior management. While we will bring specialized supplies, some of our activities use basic school supplies (e.g., crayons, scissors, etc.) that are impractical for us to bring to every club.
Number of Adult Volunteers:
School Will Provide:

The standard DSBK club is 8 consecutive Fridays after school for two hours.
Anticipated Number of Students (max 15):
Academic Year -
Preferred time of year

First Choice

Second Choice

Third Choice

Club Type:
Number of Weeks:
Preferred Day(s) for Club:
(Choose all that apply)
School Ends At:
Additional Considerations for Scheduling (2000 characters max):

Please provide a clear and concise answer to the following questions: What educational goal do you hope to accomplish by bringing DSBK to your school? How will DSBK complement or supplement your existing program? (5000 characters max)
How did you hear about DSBK?
(choose 1)