Forms • Needham • CivicEngage

Permitting Application

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Event Name*

Event Details*

Location*

Rooms Requested*

Event Date(s)*

Start Time(s)*

End Time(s)*

Organization Name*

Organization Type*

	School Group
	Town Group

Needham Based Non-Profit

Contact Person*

Email Address*

Day Time Phone No.

Cell Phone No.

Evening No.

Billing Address*

Any Audio Visual Requirements

Any Event Setup Requirements

Any Fire or Police Requirements

Any Kitchen Equipment Requirements

Number of People Attending*

To review regulations:

I have read and accept the Rules and Regulations for Use of School Facilities effective July 1, 2012 and will comply with all requirements.*

Yes

Initial to Confirm Application*

Date*

* indicates required fields.