FACILITY USE REQUEST FORM

Please complete this form at least ten days before the planned event.


Your Name:
Email Address:
Phone Number:
Name of Event:
Event Date:
Event Time From:
Event Time To:
Setup Date:
Setup Time From:
Setup Time To:
Location:
Location Notes:
Furniture:
# 60 inch round tables
# 6 foot rectangle tables
# 8 foot rectangle tables
# Chairs
# Trash Cans
Special Door Programming Requests:
Special Technology Requests:
Other Comments or Notes:

 

Human Verification Step 1: From these photos, please choose the Cistercian Headmaster:

Human Verification Step 2: From these photos, please choose the Cistercian School Nurse: