Reserve 80 North Glebe

80 NORTH GLEBE - Request for Use of Parish Facilities

"*" indicates required fields

Name of Event*

Date of Event*

Organization:*

Parish Group

School / PTO Group

Diocesan Office

Other

Request for the following facilities:*

80 North Glebe Road

List Parish Group:

List Diocesan Office:

Other:

Brief Description of Event*

Set Up and Event Time

Set Up Time Begins:*

Event Start Time*

Event End and Clean Up Time

Event End Time*

Clean Up Completed by:*

Event Details

How many people will be attending your event?*

Equipment:

Microphone

Projector and Screen

Person Responsible for Keys*

This person is responsible for locking up all the doors after the event and securing the premises and returning the keys after the event to the rectory office.

Pick Up Date of Key*

Time key will be picked up*

Will you be using a caterer? If so, please list company name and contact.

Event Contact Information

Event Contact Name*

First Last

Cell Phone Number*

Contact Email*

Address where invoice will be sent:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Electronic Signature*

I understand that I am responsible for payment and ensuring the facility is neat, orderly, and locked after the event that the keyes are returned to the rectory office immediately after the event.

First Last

Office Use

Reservation Form Received in Office _______________________________________________ Date Check Received / Initial ________________________________________ Date Entered on Calendar / Initial ____________________________________

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