Request Facility Usage

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

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

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

Staff Member (or type 'none' if not staff) REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Cell Number Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Requested space(s) 1st choice (check multiple if more than one space is needed) Presentation of Mary Room (large meeting room)* Gymnasium Fireside Room Gathering Space Church Library School Classroom (list classroom number preferred below) SchoolArt Room School Cafetreia Other

Classroom Number requested Please enter valid data.

Requested space(s) 2nd choice (check multiple if more than one space is needed) Presentation of Mary Room (large meeting room)* Gymnasium Fireside Room Gathering Space Church Library School Classroom (list classroom number preferred below) SchoolArt Room School Cafetreia Other

Classroom Number requested (2nd choice) Please enter valid data.

Is this a One Time Event or a Continuous/Recurring Event? REQUIRED One time Continuous/Recurring Please fill out this field.

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

End Date (if only one day enter same date for start and end) Please enter a date.

Please note the frequency of use (i.e. daily, 2nd Tuesday, monthly, etc.) Also note all date exceptions or dates NOT using the facility (i.e. July 4th, or Christmas day , etc.)

Actual event start time (will be printed in bulletin) REQUIRED Please fill out this field. Please enter valid data.

AM/PM REQUIRED Please fill out this field.

Actual event end time (will be printed in bulletin) REQUIRED Please fill out this field. Please enter valid data.

AM/PM REQUIRED Please fill out this field.

Setup time in Minutes (this will determine when the building and/or selected room will be unlocked for your use REQUIRED Please fill out this field. Please enter an integer (number).

Cleanup time in Minutes REQUIRED Please fill out this field. Please enter an integer (number).

Expected Number of People Attending the Event REQUIRED Please fill out this field. Please enter valid data.

Special Needs (TV, VCR, chairs, tables, Large Meeting Room Equipment, see below*)

*If using the audio/visual equipment in the Large Meeting Room, please note: Person using equipment must have been trained in the proper usage and agrees to terms of usage. By clicking I accept you are submitting your signature as the Responsible Person for the A/V equipment.

Click I agree to submit your electronic signature accepting responsibility We will not be using the A/V equipment I agree

You will receive a confirmation email after you click submit below. Your request is NOT confirmed until you receive the 2nd confirmation email which will clearly state that your request is scheduled.

Church related events (funerals, weddings, or other liturgies) will take precedence over your planned event. OLL will make every effort to accommodate your group, but there might not be any alternative space that is appropriate.

Each group is responsible for leaving the area in the same condition it was found. Thank you.

I Agree to these terms and by clicking am submitting my electronic signature Please select this field.