WAKEFIELD HIGH SCHOOL
FACILITIES USE FORM

NOTE: Completion of this form is required for all activities. Events will not be held unless this form has been submitted two weeks in advance. In the event of a conflict, the overall interest of the entire Wakefield student body will be the chief consideration given.

A printable form is located here: Printable form

Faculty/Staff Making Request *
Group represented *
Type of Activity *
Number of People Involved *
Date of Activity *
Set Up Time *	This is the time at which set up begins.
Starting Time of Activity *
End Time of Activity *
Room(s) Needed *
Do you need heat? *	Yes     No
Do you need air conditioning? *	Yes     No
Do you need security? *	Yes     No
Do you need a custodian? *	Yes     No
Number of Security officers needed
Number of hours security needed
Times security needed
Security officer is paid $35 an hour. Total cost=
Number of custodians needed
Number of hours custodian(s) needed
Person/club/agency who has agreed to pay custodians
Your initials indicate a digital signature. Please initial here. *
Today's date is *
Email address *
Image Verification Please enter the text from the image: [Refresh Image] [What's This?]

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