EVENT SPECIFICATIONS

Event Name:____________________________________________________________

Event Date:_____________________________________________________________

Event Time: Start: _______________ End: _______________

Event Location: □ Hunter Hall □ Church □ Conference Room □ Dismas North

If using Hunter Hall, will the kitchen be used? □ Yes □ No

Expected Attendance: __________

□ Insurance Certificate required for non-parish groups Submitted: □ Yes □ No

SET UP REQUIRMENTS:

Set Up Date: _______________ Start Time: _______________

Set for __________ people

Special Set Up Requirements: _______________________________________________

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Requested by: ______________________________ Phone: _________________

Date of Request: _______________

Confirmation to be sent by Rectory via:

□ Mail to: ________________________________________

Address City ST Zip

□ Email: ______________________________________________________________

For office use: Confirmation sent __/__/__ by _______________

THIS FORM CAN BE FAXED TO 847-623-5292

DATES REQUESTED	TIME FRAME	FACILITY	COMMENTS
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Please indicate the frequency of the meeting (i.e., daily, 2^nd Tuesday, monthly etc. Be sure to indicate day(s) of week).

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