FACILITY USE REQUEST

Thank you for your interest in our facilities. The attached form is specifically for St. Pius X parish ministry use only. Our facilities are not available for private functions or parties.

Please fill out the entire form and you will be contacted about your request. Filling out the form does not constitute an acceptance of, or reservation for, your request. If you do not receive a phone call or email to confirm your request within 5 business days, please call the parish office.

FACILITY REQUEST FORM

Name of Ministry or Group

Full Name of Contact Person

Best Contact Email

Best Contact Phone

Activity for which facility is to be utilized. Please be as specific as possible. Must include the expected number of attendees.

Please indicate the START and END dates you are requesting. Indicate your first choice Date(s) and Time(s). Make sure to indicate if the dates are consecutive. For example: "Friday, October 4 from 6:30 - 8:30pm" OR "First Wednesday of the month from 7:00 - 9:00pm"

Alternative Date(s) and Time(s)

How much time is needed for set-up and clean-up?

Please indicate any special equipment or audio/visual needs. If you do not have any needs, please write "none."

Do you have any questions regarding the use of our facilities? If you do not have any, please write "none."

Thank you for your submission. Your request will be confirmed by email or phone. If you do not have a response within 5 business days, please contact the parish office.

St. Pius X Roman Catholic Church

GREENSBORO, NORTH CAROLINA

FACILITY REQUEST FORM