Event Request Form

CORPUS CHRISTI CATHOLIC CHURCH

Name of the Ministry / Organization
Person Submitting the Request Person Submitting the Request First Last
Phone Phone - ### - ### ####
Email
Scheduling

Scheduling One-Time Event Recurring Event
If recurring:

If recurring: Weekly Event Monthly Event Quarterly Event
Date(s) of the Event
Start Time of the Event Start Time of the Event : HH MM AM/PM
End Time of the Event End Time of the Event : HH MM AM/PM
Description and Objective of the Event
Maximum of 50000 characters allowed. Currently Entered: 0 characters.
IF THIS EVENT INVOLVES INTERACTION WITH YOUTH UNDER THE AGE OF 18 YEARS, THE ONSITE SAFETY PERSON IS RESPONSIBLE FOR CHILD SAFETY AND MUST BE "CMG SAFE HAVEN" CERTIFIED, AND APPROVED BY THE PARISH OFFICE.

Safety / Injury Onsite Person IF THIS EVENT INVOLVES INTERACTION WITH YOUTH UNDER THE AGE OF 18 YEARS, THE ONSITE SAFETY PERSON IS RESPONSIBLE FOR CHILD SAFETY AND MUST BE "CMG SAFE HAVEN" CERTIFIED, AND APPROVED BY THE PARISH OFFICE.

Safety / Injury Onsite Person First Last
Which Building /Facility is Required for the Event?

Which Building /Facility is Required for the Event? Parish Hall Old Church Portable / Classrooms Youth Room Church Building Other Other
Person Responsible for Opening and Securing the Building / Facility: Person Responsible for Opening and Securing the Building / Facility: First Last
Would the kitchen be needed?

Would the kitchen be needed? Yes No
IF YES: Name of the Person Responsible for Opening the Kitchen and Implementing the Policy and Procedures of the Kitchen IF YES: Name of the Person Responsible for Opening the Kitchen and Implementing the Policy and Procedures of the Kitchen First Last
Person Responsible for Clean Up Person Responsible for Clean Up First Last
Has an Announcement Request been sent to the Parish Office through our website?

Has an Announcement Request been sent to the Parish Office through our website? Yes No
IF NOT, PLEASE SEND AN ANNOUNCEMENT REQUEST AFTER SUBMITTING THIS EVENT REQUEST FORM BY TABBING THE BOTTOM BELOW.

Other Needs:
By checking this box, I agree to take all the appropriate precautions by following the Parish Safety Guidelines presently in place.
By checking this box, I certify that I have read and verified that all the information above is complete and accurate. I hereby consent to and authorize the necessary procedures stated above.
Fathers' Approval: