NAME OR GROUP

SIZE OF GROUP

PERSON ON COMMITTEE IN CHARGE

TELEPHONE NUMBER

DATES OF ACTIVITY(including setup dates)

TIME OF ACTIVITY
(including set-up time):Starting time Ending time

CHILD CARE: Yes   No

If yes, how many children     Ages

WILL DO OWN SET-UP:              Yes                              No

ROOM ARRANGEMENT:

EQUIPMENT/SUPPLIES NEEDED: (ex. VCR, mic., ease., etc.)

CHECK LIST FOR SANCTUARY:

Audio              Powerpoint          Video   

Special Set up of Equipment(ex. Communion rails removed, kneelers, reserved seats, microphones, etc.