Calendar/Event Request Form

Work Specifics:

Name of Requester: REQUIRED Please fill out this field. Please enter valid data.

Ministry REQUIRED Please fill out this field. Please enter valid data.

Today's Date REQUIRED Please fill out this field. Please enter a date.

Your Email: REQUIRED Please fill out this field. Please enter valid data.

Phone #: REQUIRED Please fill out this field. Please enter valid data.

Alternate Phone #: Please enter valid data.

Event Logistics:

Event Name: REQUIRED Please fill out this field. Please enter valid data.

Recurring? REQUIRED No Yes Please fill out this field.

If yes, please provide the following: Daily Weekly Bi-Weekly Monthly Other - Please specify

Please enter valid data.

Start Date: REQUIRED Please fill out this field. Please enter a date.

End Date: REQUIRED Please fill out this field. Please enter a date.

Start Time: REQUIRED Please fill out this field. Please enter valid data.

End Time: REQUIRED Please fill out this field. Please enter valid data.

Set Up Time: REQUIRED Please fill out this field. Please enter valid data.

Break Down Time: REQUIRED Please fill out this field. Please enter valid data.

Comments:

Will you need corner Parish Hall glass security door automatically unlocked? REQUIRED Please fill out this field. Please enter valid data.

If so, when should doors be opened? Please enter valid data.

If so, when should doors be locked? (If times change after request is sent, please notify so that the doors are not left unlocked.) Please enter valid data.

For Office Use Only:

Event Confirmed (Yes/No)?

Please enter valid data.

If no, have requester(s) been contacted (Yes/No)?

Please enter valid data.

Our Mother of Perpetual Help

The Redemptorists, Ephrata, PA

Calendar/Event Request Form

Please complete this form in its entirety.