JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Windham School District - Facilities Use Application
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name of Organization
*
Your answer
Date to be used (Please list additional dates in the
section below)
*
MM
/
DD
/
YYYY
End date (if applicable)
MM
/
DD
/
YYYY
Additional Dates (if none, specify N/A)
*
Your answer
Event Description
*
Your answer
Requested Building
*
Golden Brook
Center School
Middle School
High School
SAU Building
Required
Requested Space
*
Auditorium
Chorus Room
Band Room
Cafe
Gym
Classroom
Media Center/Library
Field (s) (specify in Location Notes)
Parking Lot(s)
Other (Please specify in "Location Notes")
Required
Location Note (Field type, other location, etc.)
*
Your answer
Total number of guests (including children)
*
Your answer
Arrival Time
*
Time
:
AM
PM
Departure Time
*
Time
:
AM
PM
Contact Name
*
Your answer
Phone #
*
Your answer
Billing address (if applicable)
*
Your answer
Show Start Time (if applicable)
Time
:
AM
PM
Show End Time (if applicable)
Time
:
AM
PM
Requested equipment
*
Tables (Please indicate # of tables and location under "Equipment notes")-36 Max
Chairs (Please indicate # of chairs and location under "Equipment notes")
Choral Band Risers
P.A. System
Theatrical lights
Lectern
Overhead Screen/Projector
Other (Please specify in "Equipment Notes")
Wifi password is windham24
None
Required
Equipment notes (specify # of tables, chairs etc. or N/A)
*
Your answer
Advertising Banners on School premises
*
If you would like to display advertising banners for your event(s), please fill out the Banner Request Form and submit to the Superintendent's Office before displaying on District premises.
Please follow the links below to view
our WSD Procedure KHB-R and the WSD Banner Request Form:
KHB-R Advertising in Schools
WSD Banner Request Form
Sent Banner Request Form to SAU 95 for approval
N/A
Special requests (If none, specify N/A)
*
Your answer
Categories
Category A: Brances of Windham municipal goverment
Category B: Windham Based non profit groups and residents
Category C: Windham for profit groups
Category D: All other groups at the discretion of the Superintendent
Fee Schedule
I understand that by checking this box, I agree to the fee's above
*
I agree
Required
Electronic signature (type in your name)
*
Your answer
I understand that checking this box constitutes a signature confiming that I have requested Use of Facilities in the Windham School District.
*
I understand
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Windham School District.
Does this form look suspicious?
Report
Forms
