Please fill out this form with your request for use of facilities. It is important that you fill out this information exactly. Event Name* Organization* Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*FaxEmail* Please choose a facility or multiple*To choose multiple, hold CTRL/CMD + ClickChurchClassroom 2Classroom 3Classroom 4Classroom 5Classroom 6Library 7/8Classroom 11Main HallKitchenGrottoStageMulti-Purpose RoomWhat date do you require? MM slash DD slash YYYY Will this event be repeated?* Yes No Please Explain* Start Time* : Hours Minutes AM PM AM/PM End Time*ALL EVENTS MUST END AT 9PM : Hours Minutes AM PM AM/PM Number of Minutes for Setup*Number of Minutes for Cleanup*Approximate Number of People*Other Comments (Number of tables, chairs, etc.)Note: 1. Refer to Parish Facilities Guidelines for additional information on facility usage. 2. Request for multiple dates and times, please use Multi-Use Facilities Scheduling Request Form. You will be notified when your request has been approved. If there are any changes to this request, please contact the parish office as soon as possible. Parish office must be notified when a meeting is CANCELLED by email or by phone, if within 24 hours. Failure to cancel may result in loss of usage in the future.CAPTCHA