WAKEFIELD PUBLIC SCHOOLS USE OF FACILITIES

60 Farm Street, Wakefield, MA 01880

Tel. 781-246-6400 / FAX 781-245-9164

Application Date * +

School Year *

REQUEST FOR USE OF FACILITIES

Name of Group (Organization)/Event *

School Sponsored Activity *

Yes

Location of Event *

Expected Attendance *

Admission Charged *

Yes

Fee *

Name of Person Responsible for Event *

Address/Tel # *

Email Address *

Event Date * +

Event Start Time *

Event End Time *

Event Prep Start Time (Building Open) *

Special Equipment Needs (Tables, Chairs, Setup, etc.) and Specific Event Plan *

Any other information you can provide

Signature of Applicant *

clear

Building Administrator Approval

clear

FOR OFFICE USE ONLY

Custodial Assignment

Cafeteria/Grounds/Other Personnel *

Number *

Hours *

Meeting Posted *

Permit Issued # *