Name
of Group:
Type
of Event:
(e.g. Lecture, social, meeting, luncheon,
etc....)
Purpose
of Event:
PERSON
RESPONSIBLE FOR scheduling , canceling, use, clean-up,
timely departure, & supervision of children...
Name:
Telephone:
daytime evening
E-Mail:
Parish
Registration #:
EVENT
INFORMATION
Event
Date:
If multiple
dates needed, list dates
here...
Number
in Group:
Room
or Space requested:
Benedict Hall
Martin Hall (basement)
Church
Cry Room
St. Catherine
of Siena Room
St. Margaret
Mary Room
Nursery
Youth Room (2nd
floor)
Courtyard (outside)
Other
1st choice
Benedict Hall
Martin Hall (basement)
Church
Cry Room
St. Catherine
of Siena Room
St. Margaret
Mary Room
Nursery
Youth Room (2nd
floor)
Courtyard (outside)
Other
2nd choice
Event
Time:
Begin:
End:
*
All events must end by 8:30 P M and clean-up must
be completed by 8:45 PM. Time needed for setup:
Time needed for cleanup:
* There is no Childcare without prior written approval. All paperwork must be approved
45 days prior to an event.8:45
PM ***
EQUIPMENT
/ SETUP / CHILDREN
Do
you need a special setup?
Yes
No (e.g. tables, chairs,
etc.)
Special
Equipment Needed:
(e.g.TV-VCR, microphone, etc.)
Children
in attendance:
Yes
No
*
All children must be under DIRECT adult supervision.
MEALS / SNACKS / KITCHEN USE
Snacks/
Drinks/
Yes
No
Types
of drinks to be served:
* Red, orange
or purple beverages are NOT permitted!
If
you are requesting Benedict Hall:
Will you need the Kitchen?
Yes
No
Yes
No
Yes
No
Yes
No
Coffee,
filters, cups etc., must be supplied by your group. No
food and drink whould be placed in the Refrigerator
more than 24 hours before an event and must be labeled
and dated. All
food (refrigerated, frozen or otherwise) must be
taken home or thrown away with the cleanup of the
hall and kitchen. Food cannot be stored in BH kitchen.
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