EmailMe Form - Facility and Equipment Request Form

EVENT NAME *
EVENT DESCRIPTION *
DATE/DATES NEEDED (Use mm/dd/yyyy format) *
Please note, when requesting multiple dates, please list each date.
If requesting recurring dates, provide a start date, end date and day of week. (e.g. Weekly on Tuesday, beginning mm/dd/yyyy to mm/dd/yyyy).
For recurring dates: please indicate any dates that would be cancelled or need rescheduling due to Holidays, Holy Days and School Breaks)

Or you can upload a schedule at the bottom of this form
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EVENT START TIME:
(DO NOT INCLUDE SETUP TIME HERE. EVENT START AND STOP TIMES ARE USED IN PARISH PUBLICATIONS.) *
HH : MM AM/PM
(Additional time needed for setup should be requested below)
EVENT END TIME:
(DO NOT INCLUDE CLEANUP TIME HERE. EVENT START AND STOP TIMES ARE USED IN PARISH PUBLICATIONS.) *
HH : MM AM/PM
Additional time needed for cleanup should be requested below.
ADDITIONAL TIME NEEDED FOR SETUP *
Setups requiring more than 3 hours or the day before must be coordinated separately. Please make note of your need in the Additional Facility Notes sectiion below.
ADDITIONAL TIME NEEDED FOR CLEANUP *
Setups requiring more than 3 hours or the day before must be coordinated separately. Please make note of your need in the Additional Facility Notes sectiion below.
SPONSORING ORGANIZATION *
THIS MUST BE AN APPROVED SCHOOL OR PARISH MINISTRY-OUTSIDE ORGANIZATIONS CANNOT BE A SPONSORING ORGANIZATION
CONTACT PERSON *
Person who can answer questions about this request
CELL PHONE *
### - ### - ####
EMAIL ADDRESS *

CONFIRM EMAIL ADDRESS
PRIMARY ROOM/SPACE NEEDED (Select One)
(Additional rooms/spaces needed may be requested in the next section.) *
Cafeteria
Camp St. Patrick
Celtic Center (Gym)
Celtic Center Foyer
Chapel
Church
Cry Room
Gathering Space
Miles Meeting Room
Music Room
Pastoral Suite Meeting Room
Schindler Hall
St. Brigid
St. John Paul II/Youth Room
St. John XXIII
Selected in Below List
Some facilities need additional keys to access so be prepared to make arrangements with the office for pick up. (We do not give keys to minors.)
ADDITIONAL ROOM/SPACE NEEDED (Select all that apply)
Cafeteria
Camp St. Patrick
Celtic Center (Gym)
Celtic Center Foyer
Celtic Center Plaza
Chapel
Church
Church Confessional
Classrooms-Preschool (Restrictions Apply)
Classrooms-JK/Kdg (Restrictions Apply)
Classrooms-Middle School (Restrictions Apply)
Concession Stand (Requires access approval)
Cry Room
Garage Maintenance Area
Gathering Space
Hospitality Area
Miles Meeting Room
Music Room
Parking Lot - Lower Level
Parking Lot - Upper Level
Pastoral Suite Meeting Room
Playground/Picnic Area
Schindler Hall
Schindler Kitchenette
School Foyer
School Plaza
Stations of the Cross (Outdoor)
St. Brigid
St. John Paul II/Youth Room
St. John Paul II Patio
St. John XXIII
Teacher's Lounge (Restrictions Apply)
ADDITIONAL FACILITY NOTES: (You may provide additional information about your needs here such as how you plan on using additional spaces, times you will need those spaces if different, special setup and cleanup, etc.)
ESTIMATED # OF GUESTS *
EQUIPMENT AND ROOM NEEDS: Please list all needs for your event. Including # of tables and chairs, A/V equipment needed, etc. If you are bringing in equipment, list that here as well so we can make sure it is compatible with our systems. *
If we are doing setup, please attach a copy of the layout below.
EVENT INFORMATION
Will attendees be charged a fee? *
Yes
No
Will food or beverages be served? *
Yes
No
Will an outside caterer be used? *
Yes
No
If yes, provide catering company information below:
Will alcohol be served? If 'Yes', please read notes carefully. *
Yes
No
If “yes,” you will need to speak with the facility coordinator to make sure you are in compliance with the parish liquor license. Additionally, we must have a room layout with the location of all alcohol serving locations marked.
If Yes, check what types will be served.
Beer Only
Beer & Wine Only
Beer, Wine & Liquor
Will there be a raffle or door prizes awarded? *
Yes
No
If “yes” you will need to speak with the parish bookkeeper and business manager so proper licenses can be obtained
Will there be games involving cards, dice, or wheels? *
Yes
No
If “yes” you will need to speak with the parish bookkeeper and business manager so proper licenses can be obtained.
Will any third party/outside vendors be used? *
Yes
No
If "yes", you will need to provide details of activity and obtain a certificate of insurance from the vendor as outlined in the 'Terms and Conditions for Facility Usage'.
Will there be deliveries prior to and/or pick-ups after the event? *
Yes
No
If "yes", you will need to provide us with what is being delivered and when. You should arrange to be available for deliveries made after 2:00pm
Need to upload a schedule, room layout or another document?
Sign & Submit Form
The undersigned acknowledges they have read and will comply with the “Terms and Conditions for Facility Usage”.
I AGREE *
I have read and will comply with the “Terms and Conditions for Facility Usage”.
Your Name *
Submission Date *
MM / DD / YYYY

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