The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Windham School District Use of Facilities Application
Requested Building
Required
Requested Space
Required
Notes (if none, specify N/A)
Your answer
Name of Organization
Your answer
Contact Name
Your answer
Phone #
Your answer
Email
Your answer
Billing address (if applicable)
Your answer
Event Description
Your answer
Total number of guests (including children)
Your answer
Date to be used (Please list additional dates in the Notes section below)
MM
/
DD
/
YYYY
End date (if applicable)
MM
/
DD
/
YYYY
Arrival Time
Time
:
Departure Time
Time
:
Show Start Time (if applicable)
Time
:
Show End Time (if applicable)
Your answer
Notes ( Additional dates, special requests etc. If none, specify N/A)
Your answer
Requested equipment
Required
Equip. notes (specify # of tables, chairs etc. or N/A)
Your answer
Categories
Category A-Branches of the Municipal Government-No charge.
Category B- Windham community, private school, established youth organizations.
Category C- Local groups including religious, cultural, fraternal, patriotic, political, service and duly established charitable organizations where no admission is charged and/or no other profit-making activity is engaged in.
Category D-Organizations which are cultural in nature and which have School District approval for on-going use of the facility.
Category E-Profit making activity where admission is charged and sponsored by or part of one of the groups identified in Categories B or C.
Category F-Private promoters receiving a percentage of the profit and sponsored by or part of one of the groups in Categories B, C & D.
Category G: Private promoters for their own exclusive profit.


Fee's
Custodial- $30 per hour, per custodian. Applies to all categories if on the weekend.
Utility- $9 per hour, per room. Applies to all categories if on the weekend.
A/V Tech- $40 per hour. Applies to all categories.
P.A. System- $35 per event/performance for a maximum of $90. Applies to categories C-G.
Pianos- $50 per piano, per event/performance. Applies to categories C-G.
Choral Risers- $50 per event. Applies to categories C-G
Auditorium/Room Rental Fee-See Community Use of School Facilities policy.
I understand that by checking this box, I agree to the fee's above.
Electronic signature (type in your name)
Your answer
I understand that checking this box constitutes a signature confirming that I have requested Use of Facilities in the Windham School District.
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Windham School District. Report Abuse - Terms of Service - Additional Terms