FY'21 Facilities Use Form
Due to the COVID-19 Health Emergency, we are currently accepting limited applications. Please fill out the form and email
Mshorten@sandwich.k12.ma.us
for further information.
All requestors must show adherence to Massachusetts state and local health policies regarding COVID-19 restrictions.
* Required
Email address
*
Your email
PLEASE ALLOW 2 WEEKS TO PROCESS
If your event is less than 2 weeks away lease contact Mimi for availability
mshorten@sandwich.k12.ma.us
Name*
*
Your answer
Company if Applicable
Your answer
Address of Applicant or Company
*
Your answer
Phone Number Where You Can Be Reached
*
Your answer
Email
*
The completed form will be returned here
Your answer
Building Requested
*
Choose
High School
Oak Ridge
Forestdale
Wing
Facility Requested
*
Choose
Cafeteria
Multipurpose
Gym
Classroom-High School Only
Parking Lot
Field
Auditorium
Stadium
Other- please use notes to describe
Library
Days of week
*
Check all that apply
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
Required
Beginning Dates of Event
*
MM/DD/YYYY
MM
/
DD
/
YYYY
End dates of Event
*
MM/DD/YYYY
MM
/
DD
/
YYYY
Start Time
*
Start time-End time (*indicate am/pm)
Time
:
AM
PM
End Time
*
Start time-End time (*indicate am/pm)
Time
:
AM
PM
Description of Event
*
Your answer
Additional Dates or Notes
please use for additional dates
Your answer
Facilities Use Instructions- Office Use Only
Your answer
Please Sign
*
Application is not complete until it is returned to you with all signatures. BY SIGNING BELOW, REQUESTER AGREES TO COMPLY WITH COVID-19 RELATED RESTRICTIONS AND GUIDELINES FOR THEIR PROGRAM/ACTIVITY. Please allow a minimum of 2 weeks for processing
Your answer
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