Requesting Organization:   8th Grade CCD Day Care Ladies Mature Singles Ladies Society Legion of Mary Mens Club Over 55 Club Pastoral Council PTO Quilters R.C.I.A. School Scouts Sociedad Guadalupana Spiritual Life Center St. Vincent DePaul Student Council Youth Ministry Other
   If other, enter the name of your organization 

Organization’s Contact Person: 

Enter an e-mail address so that we may contact you with the resolution of this request.  
(Forms without an e-mail will not be evaluated.)

Contact Phone: 

Date of Event:
Time of Event:  From   to
Event Location:  Brown House Church Communion Hall Day Care House Gym Media Center Parish Hall School Scout Room Spiritual Life Center Youth Room Other  
        If other, enter the location 

Anticipated revenue from this event:   Net  Gross