Facility Change Request - St. Teresa of Avila Catholic Church

Please indicate the reason for the change:

Please list the facility/rooms you had already reserved:

Education Building Classrooms

(* - denotes for small children)

To reserve multiple rooms please list them here.

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Parish Life Building

To reserve multiple rooms please list them here.

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Parish Life Annex Building

To reserve multiple rooms please list them here.

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Other Parish Area

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Parish Committee / Organization

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Responsible Party

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Reason For Request

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Date(s) Needed (please list all dates)

Entire Time Needed (please include setup and take down)

Actual Time of the Meeting/Event

Number Attending

Alternate Date

Will You Need Kitchen Access?
Yes No

Equipment Requests
*Must meet with the Office Manger/Bookkeeper to make arrangements two weeks in advance.
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Tell us how to get in touch with you:

Name

E-mail

Tel

FAX

Please contact me as soon as possible regarding this matter.