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Building Use Request Form

We have a vibrant parish, full of active ministries and community groups that use our Parish Center on a regular basis. In order to try to accommodate as many requests as possible, it is important that groups do not sign up for rooms that they will not use. If you need to cancel or reschedule a meeting that has been confirmed, please contact the Parish Office.

Name of Person Completing this Form*

Email Address of Person Completing this Form*

Name of Organization/Group*

Organization/Group Leader's Name*

Daytime Contact Number (Is this a home, cell, or work number)*

Has your group/ministry been approved by the Albany Diocese?*

Select an option

Is there a fee charged to participants in your group?*

Select an option

Does your group/organization have liability insurance coverage?*

Select an option

If yes, has your organization submitted a copy of your insurance certificate to the Parish Office? *

Select an option

Does your group/ministry work with children or youth at any time?*

Select an option

Are any attendees at your meetings non-parishioners?*

Select an option

Please enter the date, time and room (if requesting a specific space) for each meeting you would like to schedule.*

Do you need to make arrangements to pick up a key?*

Select an option

Additional comments

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