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Room Request Form
Room Request
Complete this form to request use of a room at St. Pius Church
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This field is for validation purposes and should be left unchanged.
Name
(Required)
First
Last
Email
(Required)
best email in case of questions
Purpose of Meeting/Event
(Required)
ACTS Group
Bible Study/Prayer Group
Boy/Cub Scouts
Catholics in Recovery
Come Lord Jesus Group
Cursillo/Ultreya Prayer Group
Diocese of Lafayette
Edge/Life Teen
Knights of Columbus
Magnify/Walking with Purpose
Pius Senior Organization
Regnum Christi
That Man is You
Other
Anticipated number of PARISHIONERS participating
(Required)
Please enter a number from
0
to
500
.
Anticipated number of NON-PARISHIONERS participating
(Required)
Primary Contact
(Required)
Must be a Parishioner
First
Last
Primary Contact Phone
(Required)
Primary Contact Email
(Required)
Secondary Contact
if applicable
First
Last
Secondary Contact Phone
if applicable
Secondary Contact Email
if applicable
Is this event one-time or recurring?
(Required)
One-Time
Recurring
Date Requested (One-Time Event)
(Required)
Month
Day
Year
Event Start Time
(Required)
The anticipated beginning of the event/meeting, not including set-up/prep time.
Hours
:
Minutes
AM
PM
AM/PM
Event End Time
(Required)
The anticipated end time of the event/meeting, not including tear-down/clean-up time.
Hours
:
Minutes
AM
PM
AM/PM
Do you need access to the room before or after the event times stated above?
(Required)
Yes
No
What time do you anticipate arriving for setup/prep prior to the event?
(Required)
Hours
:
Minutes
AM
PM
AM/PM
What time do you anticipate departing following clean-up/tear-down the event?
(Required)
Hours
:
Minutes
AM
PM
AM/PM
What day of the week are you requesting? (Recurring Meetings/Event)
(Required)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Date of First Meeting (Recurring Meetings/Event)
Month
Day
Year
What frequency are you requesting?
(Required)
Weekly
Every other week
Monthly
Quarterly
Other
Event Start Time
(Required)
The anticipated beginning of the event/meeting, not including set-up/prep time.
Hours
:
Minutes
AM
PM
AM/PM
Event End Time
(Required)
The anticipated end time of the event/meeting, not including tear-down/clean-up time.
Hours
:
Minutes
AM
PM
AM/PM
Do you need access to the room before or after the event times stated above? (Recurring Event)
(Required)
Yes
No
What time do you anticipate arriving for setup/prep prior to the event?
(Required)
Hours
:
Minutes
AM
PM
AM/PM
What time do you anticipate departing following clean-up/tear-down the event?
(Required)
Hours
:
Minutes
AM
PM
AM/PM
What is the last date of your event?
(Required)
Please note, the calendar is scheduled in 3 phases: August-December (scheduled beginning early summer), January-May (scheduled beginning early fall), and June-July (scheduled beginning after the first of the year). Please limit your requests to the current scheduling period.
Month
Day
Year
If your request is for an irregular frequency, please list dates requested here.
Do you anticipate a meal/food being served?
(Required)
Note – only Leonpacher Hall (the large room in the middle of the Ministry Building) allows food
Yes – Cooked onsite (limited availability to cook onsite)
Yes – Brought in, may need to warm/do final prep
Yes – Brought in, ready to serve
No
Comments/any additional information you think we need to know:
Consent
(Required)
I have read the Facility Scheduling Policy (below) and agree to its terms.
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