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 Windham municipal government.

Category B: Windham based groups and residents where no admission is charged and no
profit-making activity is allowed.

Category C: Non-Windham based groups where no admission is charged and no profit-making
activity is allowed.

Category D: All other groups, with priority for Windham based groups.

Fee's
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. *
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