Requestor Information Name * Phone Number * E-Mail Address * Access Type * - Select -Public MeetingPublic/Community EventPrivate EventExtended Department Hours Extended Department Hours Information Department * Reason for Extended Hours * Date of Extended Hours * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Opening Time * Hour Hour7 am8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm10 pm : Minute Minute0030 Closing Time * Hour Hour7 am8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm10 pm : Minute Minute0030 General Information Space being requested * - Select -Town Hall - Great HallTown Hall - Selectmen Meeting RoomTown Hall - KitchenTown Hall - Regulatory Meeting Room Event/Program Name * Event/Program Description * Event/Program Attachment Event/Program featured image, flyer, informational material, etc. For public meetings, please include the corresponding meeting posting.Files must be less than 100 MB.Allowed file types: gif jpg jpeg png pdf docx pptx xlsx. Date of Use * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Start Time of Use * Hour Hour7 am8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm10 pm : Minute Minute0030 End Time of Use * Hour Hour7 am8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm10 pm : Minute Minute0030 Public Meeting Information Public Body * Meeting Type * - Select -In-PersonHybrid - Video Conferencing (Video & Audio)Hybrid - Audio Conferencing (Audio Only)Virtual (Video & Audio) A presentation display is required for this type of meeting and will automatically be added as part of this request. As a result, when specifying meeting accessories, the presentation display option will be unavailable. Meeting Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Meeting Agenda Upload * Files must be less than 100 MB.Allowed file types: pdf docx. Meeting Start Time * Hour Hour7 am8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm10 pm : Minute Minute0030 Meeting End Time (Estimate) * Hour Hour7 am8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm10 pm : Minute Minute0030 Please note: Public access to the facility will be scheduled thirty (30) minutes prior to the Meeting Start Time. For example, if your meeting is scheduled to begin at 7 pm, the facilities doors will be scheduled to unlock at 6:30 pm. Do you require any accessories or services? * - Select -YesNo This includes the P.A. system or presentation display(s). Accessories & Services P.A. System Yes No Presentation Display Yes No Wireless Access (WiFi) Yes No Comments/Notes Additional Comments, Notes, Special Requests Leave this field blank