Room Request Form

Submit by Tuesday at 5:00 p.m. of the week prior to the requested date. A confirmation will be emailed if your request has been accepted. An asterisk (*) indicates a required field.
* My name:
* I am a: Parishioner    Non-Parishioner    Staff Member
* Email address:
* Day Phone #:
* Evening Phone #:
* Event Name:
* At-Event Contact Person:
* Meeting/Activity Purpose:
* Date(s) Room Needed:
* Times Needed:
(allowing for setup and cleanup)		  From:  To: 
* Actual Meeting Time:  From:  To: 
* Number of People Expected:


Room Setup and Special Needs
* Number of Tables:
* Number of Chairs:
Any special accessibility needs?
If Yes, please indicate here:
Please check any needed items:







Other special needs or items:
Indicate date(s) if you need
an Activity Center:
If you wish this event to be listed on the Church Monitor, what should be its listed title?: