St Mary Magdalen Catholic Parish Office Use Only

Date Received / / Time Received : (AM /PM)

Use of Facilities Request Form for:

Parish Life Center & its Meeting Rooms

Please fill out this form with your request for use of facilities (either one-time use, or for the coming year).

It is important that you fill out this information completely.

Event Date: / / (mm/dd/yyyy) Event Name:

Purpose of the Event:

Ministry/Organization:

Contact Person:

Phone: ( ) - Extension: Fax: ( ) -

Email address:

What facilities in the Parish Life Center are required? Check all that apply:

Holy Family Gathering Space (seats: 400 at round tables / 600 theatre style) Kitchen

Mother Teresa Room (seats: 50 at round tables / 80 theatre style)

John Paul II Room (seats: 32 at round tables / 50 theatre style) Other

If more than one room is requested, please indicate the main room people should be directed to:

What time is your event: Beginning: : (AM /PM) Ending: : (AM /PM)

How much time do you need to set-up the facility: (minutes)

How much time do you need for clean-up: (minutes)

Is set-up by maintenance staff required? Yes No (If yes, you will be required to complete a set-up form once your room has been reserved. Set-up forms should be turned in no later than two weeks prior to the event).

Number of Attendees Anticipated:

Will attendees require parking? Yes No Approximately how many cars?

What A/V Equipment is needed? (If available?):

TV VCR DVD LCD Projector (Training required - for parish ministries’ use only.) Screen Podium

AV Cart Microphone(s) needed Other

If this event will require the use of the facilities for more than one day:

What date(s) do you require? From: / / (mm/dd/yyyy) To: / / (mm/dd/yyyy)

What frequency? Please be specific:

One-time Daily weekdays (please specify):

Monthly (please specify): Other:

Are there any exceptions to the frequency? (Certain dates, months, etc.)

Other Comments:

Do you wish to list this event on the calendar section of the parish website (this service is available to parish organizations and ministries only)? Yes, we are most grateful for this service, Vince. No, thanks. (Please note: If this remains unchecked, it will not be listed in the calendar section of the parish website.)

Please print this form, complete and return this form to the parish office as soon as possible. You will be informed if there are any changes to the schedule you requested. Pleas note, we cannot guarantee availability, and rooms are scheduled on a priority basis.

If there are any changes to this request, please contact the office as soon as possible. Revised 3/18/2010