Use of Space Request

"*" indicates required fields

License Agreement*

By completing this form electronically, I agree to abide by the Rules and Regulations for use of space at St. Michael’s

I agree

Type:

Liscensee Name:*

First Last

Email:*

Enter Email Confirm Email

Phone:*

Requested Area(s):*

On-Site Representative Name (If different from Licensee):

First Last

On-Site Representative Position:

Email:

Phone:

Event Name:*

Event Date(s):*

Start Time (including set up):*

End Time (including clean up):*

Event Description:

Recurring?

Yes

If yes, how often?

Will you be serving alcohol (please review rules regarding alcohol)?

Yes

Will you be serving food?

Yes

Caterer's Name:

Caterer's Phone:

Additional Requests or Details:

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