Dunstable, MA

Facility Use Request Application

All persons and organizations must comply with the rules and regulations for use of Town facilities subject to the Facility Use Policy. The Select Board reserves the right to make changes to these rules and regulations. Once received by the Select Board's office, a confirmation email with next steps will be sent to the applicant. A paper copy is no longer required to be submitted to the Select Board.

Name & Organization*

Applicant Name (if different)

Applicant Address*

Applicant Mobile or Home Phone Number*

Applicant Email Address*

Are you a Dunstable Resident?*

Yes

Is this a Civic Non-Profit Group?*

Yes

Will food be served?*

Yes

Facility Being Requested*

Will this event take place on multiple days?*

Date of Event*

Start and End Time of Event*

Purpose of Event*

Estimated Attendance*

Admission Charged

Other information/comments including dates needed for storage of materials, if needed.

POLICY AGREEMENT: I have read and agree to the Facility Use Policy concerning the use of Town property. I agree to hire and pay for a Dunstable Police Officer and/or building custodian if required to do so. I also agree to contact the BOS office within 48 hours of the end of the event and to reimburse the Town of Dunstable for any damage or loss of Town property resulting from my use during this time. I accept liability for any and all damages, exclusive of ordinary wear and tear.*

I agree

Days	Hours
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Monday
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Friday
Saturday

Days

Hours

Sunday

Monday

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Thursday

Friday

Saturday

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Facility Use Request Application

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