Parish Facility Request

Name (First/Last)

Phone:

Email

Name of Ministry, Group, or Individual Using the Facility

Briefly describe your event/reason for facility request

Event Start Date/Requested Dates (list all dates for recurring meetings)

Event Start Time

Event End Date

Event End Time

Set-Up date/s

Set-up Times/Time Access to Space is Needed

Clean-up Date/s

New Field:

Approximately how many people will be u

For non-parish groups: do you have a current copy of a Certificate of Liability Insurance?

Yes

No

We are an OLG Parish Group

We are a Diocesan Group

Requested Space 1

Requested Space 2

Requested Space 3

Requested Space 4

Technology/Supplies Needed

Round Tables w/8 chairs (Albanese Hall Only)

Projector/Screen (Albanese Hall only)

Sound System w/2 handheld mics (Albanese Hall Only)

Podium (Albanese Hall Only)

Wi-Fi (all spaces- reliability not guaranteed)

Long, Rectangular Tables (Albanese & Shepherds Hall)

Chairs (Albanese & Shepherds Hall)

Supplies for Celebrating Mass

Other Setup Request (please list in Special Needs/Request space below

Please List Any Special Needs, Requests, or Setup

Our Lady of Grace Church