ST. ANN’S CATHOLIC CHURCH
691 GARFIELD PARKWAY
BETHANY BEACH, DE 19930
302-539-6449
Fax:302-539-0657
BUILDING USE APPLICATION FORM
DELANEY HALL OR MASTERSON CENTER: ROOM______
****Note: use of Hall contingent upon unexpected Notice of Funeral****
*Donation for use $300
NAME OF ORGANIZATION______
PERSON MAKING REQUEST:
______
Name Address Phone
PERSON IN CHARGE OF ORGANIZATION:
______
Name Address Phone
ROOM(S) REQUESTED______
DATE:______DAY(S) OF WEEK______
TIME: HOURS______FROM______TO______
TYPE OF ACTIVITY, PROGRAM OR MEETING:______
NUMBER EXPECTED TO ATTEND______
DO YOU PLAN TO DECORATE: YES__ NO___(IF YES USE BLUE MASKING TAPE ONLY) WHEN WILL YOU SET UP? DATE:______TIME:______
NOTE:IN ORDER TO BETTER REGULATE, CONTROL AND CONSERVE HEAT, LIGHT, AIR CONDITIONING. THE FOLLOWING REQUIREMENTS MUST BE CARRIED OUT:
CHECK LIST:
______TURNED OFF ALL LIGHTS – INSIDE & OUT
______CHECKED BATH ROOMS & STOVE.
______CLOSED WINDOWS
______CHECKED AND LOCKED ALL DOORS
**______ALL LEFTOVER FOOD MUST BE DISPOSED OF. LEFTOVERS CANNOT BE STORED IN EITHER DELANEY HALL OR THE MASTERSON CENTER, NOR CAN LEFTOVERS BE DISTRIBUTED THROUGH OUR PARISH FOOD PROGRAM
______EQUIPMENT INCLUDING TABLES & CHAIRS RETURNED TO
PROPER PLACE
**PLEASE LEAVE IN THE CONDITION IN WHICH YOU FOUND IT.
SIGNATURE FOR ORGANIZATION:______
EMERGENCY CONTACT FOR ORGANIZATION:
______
NAME PHONE NUMBER
APPLICATION APPROVED______REJECTED______
APPROVAL SIGNATURE FOR ST. ANN’S______
*****KITCHEN/KITCHEN SUPPLIES NOT AVAILABLE FOR USE******
ALL KEYS ARE REGULATED THRU JOHN BAYWOOD, MAINTENANCE DIRECTOR WITH APPROVAL BY PASTOR JOHN KLEVENCE. NO ONE IS PERMITTED TO DUPLICATE THEIR KEY.
I
ST. ANN’S CATHOLIC CHURCH
691 GARFIELD PARKWAY
BETHANY BEACH, DE 19930
302-539-6449
Fax:302-539-0657
BUILDING USE APPLICATION FORM
DELANEY HALL OR MASTERSON CENTER: ROOM______
****Note: use of Hall contingent upon unexpected Notice of Funeral****
*Donation for use $300
NAME OF ORGANIZATION______
PERSON MAKING REQUEST:
______
Name Address Phone
PERSON IN CHARGE OF ORGANIZATION:
______
Name Address Phone
ROOM(S) REQUESTED______
DATE:______DAY(S) OF WEEK______
TIME: HOURS______FROM______TO______
TYPE OF ACTIVITY, PROGRAM OR MEETING:______
NUMBER EXPECTED TO ATTEND______
DO YOU PLAN TO DECORATE: YES__ NO___(IF YES USE BLUE MASKING TAPE ONLY) WHEN WILL YOU SET UP? DATE:______TIME:______
NOTE: IN ORDER TO BETTER REGULATE, CONTROL AND CONSERVE HEAT, LIGHT, AIR CONDITIONING. THE FOLLOWING REQUIREMENTS MUST BE CARRIED OUT:
CHECK LIST:
______TURNED OFF ALL LIGHTS – INSIDE & OUT
______CHECKED BATH ROOMS & STOVE.
______CLOSED WINDOWS
______CHECKED AND LOCKED ALL DOORS
______EQUIPMENT INCLUDING TABLES & CHAIRS RETURNED TO
PROPER PLACE
**PLEASE LEAVE IN THE CONDITION IN WHICH YOU FOUND IT.
SIGNATURE FOR ORGANIZATION:______
EMERGENCY CONTACT FOR ORGANIZATION:
______
NAME PHONE NUMBER
APPLICATION APPROVED______REJECTED______
APPROVAL SIGNATURE FOR ST. ANN’S______
*****KITCHEN/KITCHEN SUPPLIES NOT AVAILABLE FOR USE******
ALL KEYS ARE REGULATED THRU JOHN BAYWOOD, MAINTENANCE DIRECTOR WITH APPROVAL BY PASTOR JOHN KLEVENCE. NO ONE IS PERMITTED TO DUPLICATE THEIR KEY.
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