EmailMe Form - IHM Application for Use of Church Facilities

Ministry Sponsoring Event *

Contact Person *

Email *

Cell Phone *

### - ### - ####

Phone

### - ### - ####

Name of Event *

Date of Event *

MM / DD / YYYY

Frequency *

End Date (for multi-date Event)

MM / DD / YYYY

Description of Event *

(i.e.) Ministry Meeting, Dance, Potlock, etc.)

Estimated Number of Expected Attendees *

Actual Time: Starts *

HH : MM AM/PM

Actual Time: Ends *

HH : MM AM/PM

Time Needed before *

For set-up (min/hr)

Time Needed after *

For clean-up (min/hr)

Will event tickets be sold in the Plaza? *

Yes

No

Is this event a fundraiser? *

Yes

No

(Are any monies being collected?)

Does IHM receive net funds raised? *

Yes

No

If IHM will not receive the funds raised, please specify the recipient/s here: *

EXAMPLES: IHM Youth/IHM Juventud Grupo, Facilities Maintenance Ministry/Ministerio de Mantenimiento de Instalaciones, Faith Formation (CCD)/Catecismo (Doctrina), IHM Retreats/Retiros IHM, etc.

Will alcohol be served/sold? *

Yes

No

Reserve Plaza for what dates/times? *

Check Facilities Requested *

Equipment Needed *

None

Tables

Chairs

Audio Visual Equipment

Offsite Name/Location

Offsite Contact Name

Offsite Contact Phone

### - ### - ####

Comments/Questions

NOTES:

1. You are responsible for set up and take down of all equipment used. Projector and screen must be checked out from the parish office 24 hours before the event.
2. Alarm system is automatically set from midnight until 5:00AM. Please schedule your event accordingly.
3. By clicking the Submit button below, you are affixing your signature.

Date Submitted *

MM / DD / YYYY