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Immaculate Conception Parish Scheduling Request Form

- Misc

The maximum number of form submissions has been reached. This form is currently not available.
- Please fill out this form with your request for use of facilities. If you are requesting a recurring event please make a note of that in the "Additional Information" section. It is important that you fill out this information as accurately as possible.
  
  If there are any changes to this request, please call the parish office at 940-565-1770 no less than 48 hours prior to your requested event.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Group/Event Name REQUIRED Maximum 100 characters Please fill out this field. Please enter valid data.
- Date Requested REQUIRED
  Please request additional dates in the notes section below.
  Please fill out this field. Please enter a date.
- Which space do you wish to use? Select One. REQUIRED Please fill out this field.
- Start Time REQUIRED Please fill out this field.
- End Time REQUIRED Please fill out this field.
- Additional Setup time (minutes) Please enter valid data.
- Additional Clean up time (minutes) Please enter valid data.
- Do you need: Overhead Projector TV/VCR/DVD Sound System
- Approximate Amount in Attendance REQUIRED Please fill out this field. Please enter valid data.
- Number of Chairs (if needed) Please enter valid data.
- Number of Tables (if needed) Please enter valid data.
- Staff Liaison (Please Select One) REQUIRED Please fill out this field.
- Additional Information (300 characters or less)
- Do you Need Security for this event REQUIRED Yes No Please fill out this field.
- By submitting this form you are making a REQUEST only. All requests will be verified by the appropriate staff liaison and the Parish Maintenance Coordinator. You will be contacted to confirm your event or to edit your request depending on availability.
  
  Please note that by submitting this form you:
  
  Agree to and have read the Shared Use Agreement (click here to view)
  
  Agree to be the responsible party for this group
  
  Agree to ensure the guidelines are followed by all in the group
  
  Understand if this policy is not followed you may be denied further use of these facilites
Submit

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