Please print out this form, fill it out, and give it to St. Paul's office in order to request use of the facility.

1. Name of your organization: _____________________________

2. Please list two contact persons from your organization:

Name: _______________________ Phone: ____________ email: _______________

Name: _______________________ Phone: ____________ email: _______________

3. Date(s) and hour(s) of use:

4. Frequency, if this is not a one-time event: ______________

5. Number of people expected: ____

6. Kitchen facilities needed? Yes ____ No ____

7. If the kitchen is needed, please indicate why:

8. Special needs (chairs, tables, setup time in advance, etc.):

9. Is the event for your group only or for the general public?

10. Please describe any concerns you have that are not covered in this contract:

Signature of organization's representative: _______________________

(Please print name below signature) _______________________

Signature of St. Paul's representative: _______________________
(Rector, Warden, Office Assistant, etc.)

Date: __________

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