Activity Room Request

ORGANIZATION

Requesting Organization:
Activity:
Number of persons:
Activity Date:
Frequency:
Set–Up Start Time:
Activity Start Time:
Activity End Time:
Clean–Up End Time:
Room Requested:

REQUESTOR

(REQUIRED) Requestor's Name:
(REQUIRED) Requestor's eMail:
(REQUIRED) Requestor's Home Phone:
Requestor's Cell Phone:
Requestor's Work Phone:
Date Submitted:

COMMENTS

Any comments?

This web site is the sole property of Notre Dame of Bethlehem
All images © copyright 1999
For comments and suggestions contact the webmaster.
created 2005-09-06 ; last update: 2008-02-09 0:40