St. Pius X Parish Facility Use Request Form
 
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Complete Form & Send To SPX Parish Office
If Questions Call Parish Office 317-255-4534
 

Today's Date: __________________________________Reference No. _____________
Person Making Request: ________________________ Phone # ___________________
Event Name: _____________________________________________________________
Number Of Attendees Expected: ________
Event Duration (# Of Hours): __________ ...Target Starting Time: _______________
Event Date (1st Choice) ______________ ...Event Date (2nd Choice) _____________

If This Is a Recurring Meeting, Indicate Recurring Pattern Dates (i.e., 2nd Tues Each Month, etc.)
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Space (Room) Requested: __________________________________________________
(Describe Type Of Room Needed...e.g. Adult Meeting Room; Sports Facility; Church Area; etc.)

Event Set-Up Requirements: ________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
(Describe Set-Up Needs In General: ...e.g. Tables & Chairs, Food Table; Audience Bleachers; Volleyball Nets; Volleyball Referee Platform; Tables For Displays; Podium; etc.)

If Seating Required, Are People Seated At Tables? ______Yes ..._____No
If Yes, How Many People Seated Per Table? ___________
What Type Of Tables? (Select One) ____ Standard 4' Long Tables ..____Round Tables
Any Special Equipment Needed? _____Yes ..._____No
If Yes, What Type Of Equipment?___________________________________________

Draw Diagram Showing Table Setups If Special
For Staff Use Only

Room Assigned: __________________________
Date Assigned: ___________________________
Set-Up Time: _____________________________
Event Time Of Day: ________________________
Set-Up Comments: _________________________
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Date Confirmation Issued: ____________________
Confirmation Posted By: _____________________