Facilities Request Form
St. Martha's Catholic Parish
Type of Request
Room
Your answer
Location
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Purpose
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Name of Person Requesting
Your answer
Address of this person
Your answer
Email Address
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Phone Number(s)
Your answer
Group Size
(Approximate size)
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Single or Recurring
Date:
MM
/
DD
/
YYYY
Time In (Set up time):
Time
:
Time In (Start time):
Time
:
Time Out:
Time
:
If recurring, Day of the Week & Time
Your answer
Name of person responsible
Your answer
Consent / Signature
I am aware that all keys must be signed out, all Facilities are to be left clean, with the lights out, doors locked and windows closed. Any furniture moved is to be put back as found. Chapel furniture is not to be moved. For St. Martin’s school, you must also complete and sign both sides of the school’s form for each use. This form is to be picked up with the keys and completed on every occasion.
Your answer
Date of Request (today)
MM
/
DD
/
YYYY
Submit
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