Ladue Chapel Presbyterian Church - Facility Request Form

Committee Overseeing Event

Contact Person

First Name

Last Name

Phone Number

Email

Best way to contact this person

Phone

Email

Name of Event

Date of event

Start and end time of event

Brief description of event

Who is invited to attend?

How many people are you expecting?

Is this a recurring event?

Yes

No

How much does the event cost?

Do you need registration?

Yes

No

Would you like this event publicized in the Chapel Bell and Bulletin Insert?

Yes

No

Will there be an outside speaker or presenter for this event?

Yes

No

Speaker Name

First Name

Last Name

Please share any additional information about your event

Facility Request Form