St. Mary Facility Request Form

Date:
Event Name:
Organization:
Contact Person:
Address:
City:
State:
Zip Code:
Contact Number

Please check the facilities you wish to use:
Parish Center Upper & Lower Levels
Parish Center Fireplace Room
CLOW Room
All Upper Level
Parish Center Lower Level
CDA Room
Room A
Room B
Room C
Bridal/Day Care Room
Parish Office Building
Basement
Conference Room
Upper Class Rooms
Church
Chapel
What date would you like to reserve?

From: < July 2010 > Su Mo Tu We Th Fr Sa 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7	To: < July 2010 > Su Mo Tu We Th Fr Sa 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7
Beginning:               AM PM Set Up (Hours):	Ending:                     AM PM Clean Up (Hours):

What Frequency (Daily, Weekdays, 2nd Tuesday, Monthly, etc)


Will you be using the kitchen?
-Select- Yes No

Is alcohol being served?
-Select- Yes No

Do you have or need a coordinator or manager?
-Select- Have Need