Facilities Scheduling Request Form
For Parish Groups Use Only
Facilities request deadline: two weeks prior to event.
Questions? Contact Cathy [email protected]

Requestor (All Fields Required)*

Organization				Phone (include area code)
Contact Last Name				Cell (include area code)
Contact First Name				E-mail Address
Address
City/State
Zip/Postal Code

 About the Request/Event

Date of the Event		From: To:   # of attendees expected:
Event Name
Room(s) requested:		(e.g. Family Center or Cafeteria)
Second choice ?		(e.g. Family Center or Cafeteria)

What dates do you require (for recurring events if any)?
From (mm/dd/yy):				To (mm/dd/yy):

Time and Frequency
What time do you need?
Beginning:			AM PM		Ending:			AM PM
Setup Time Required:			(minutes)		Cleanup Time:			(minutes)

What frequency? (one time,daily, weekdays, 2nd Tuesday, monthly, etc.)
Any exceptions to the frequency? (certain dates, months, etc.)

Other requirements

Will event need kitchen access?

Warming oven

Nursery

Stage needed?

Equipment needs

Podium

Microphone

TV/VCR/DVD

Dry Erase Board

CD Player

Projector/Screen

Computer

Number of Tables & Chairs: (include those used for food tables)
Round Tables				Rectangle Tables (6ft)			Rectangle Tables (8ft)
# of chairs

Large Event Requirements (if applicable - e.g.Wedding Receptions)
Describe in the box below the table and chair arrangement for your event.
If necessary, download this Facility Layout Map (pdf)
(All set up drawings must be submitted via Mail, Fax or Email a week prior to event)
St Vincent De Paul Catholic Church 6800 Buffalo Speedway Houston, TX 77025
Phone (713) 667-9111 Fax: (713) 667-3453

:

Internal Use Only

Date approved : ___________ By:_________________________________

Confirmation sent by e-mail/phone: ________________ Date Sent to Nursery:________