Facility Use Request Form

Facility Use Request Form
Email
example@example.com
Name

First NameLast Name
Organization & Title Of Event
Phone Number
Please enter a valid phone number.
Type a question

MeetingWork ShopSporting EventOther
If you answered other, please write your type of activity here.
Day of the event

MonthDayYear
Date
If multiple dates, please list here.
Activity Start Time

Hour Minutes

AM/PM Option
Activity End Time

Hour Minutes

AM/PM Option
How many people are you expecting?
Select School Location

Burlington High SchoolMarshall Simonds Middle SchoolFox Hill ElementaryFrancis Wyman ElementaryMemorial ElementaryPine Glen ElementarySchool Committee RoomSmall Conference RoomOther
Area Requested

Athletic FieldAuditoriumCafeteriaClassroom
Custodian needed

Yesno
Custodian Start Time Time
Customer End Time Time
Cafeteria Worker Needed?

Yesno
AV Tech Needed?

Yesno
Equipment Requested?
Any additional information about your event.
Should be Empty: