BOOKING REQUEST & AGREEMENT FOR USE OF SAINT MICHAEL PARISH CENTER
(Please Print Clearly)
DATE AND TIME REQUESTED:
Event Date________________________ Event Duration (start to finish times) _______________________________________
Set-up Time ____________to____________ Set-up Date (if different from event date) ________________________________
Subsequent dates (if any)
Daily:
until _______________ (ending date)
Weekly:
every _________________ (e.g., Monday) until _____________________________ (ending date)
Monthly:
The __________________ (e.g., the 3rd Monday) until _______________________ (ending date)
Except (dates to skip): __________________________________________________________________________
DESCRIPTION OF USAGE:
Event or activity ____________________________________________________________________________________
Usage Topic (circle one):
1. Parish religious education
2. Parish administration
3. Parish ministries etc.
4. Parish social event
5.
6.
7.
8.
Parishioner event
9. Non-parishioner event
Community event
10. Other __________________________
Parish fundraiser
__________________________
Fundraiser for other organizations
Number of Adult Attendees __________ Number of Children__________ Will alcoholic drinks be served? ___________
Will food be served/type? ____________________ Name/number of caterer _________________________________________
Will there be money transactions on the premises (admission fees, sales, etc.)? ______________________
Set-up Needs (e.g., seating at tables, theater-style seating, refreshment tables, dance floor, bar, stage, a/v equipment, etc.)
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
REQUESTED BY: (Please Print Clearly)
Name ____________________________________________ Organization ________________________________________
Address ______________________________________________________________________________________________
Telephone __________________________ Fax __________________________ Cell ___________________________
E-mail _________________________________________ Web Address _____________________________________
Please Circle All that Apply:
Parishioner
Non-profit
Non-parishioner
For-profit
I have read the Terms & Conditions for Rental of the Saint Michael Parish Center, agree to comply with all aspects of it and
this agreement, and accept responsibility for compliance. I will also take full responsibility for any loss incurred or damage to
Parish goods, equipment and property:
___________________________________________________ (signature), _____________________________ (date)
Return this request with deposit or payment in full to: St. Michael Parish, Rental Office, 90 Concord Road,
Bedford, MA 01730
OFFICE USE ONLY:
Request received on _________________________ Security deposit amount $_________________ Date $ received _____________________
Room(s) assigned ______________________________________ Rental fee: $ ________________ Date $ received _____________________
T&C Violations No Yes (describe on back)
Date & amount of deposit returned __________________________________
Revised 12/08 PLL