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.
Required
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