Main Contact *required

Your Phone Number *required

Your Email *required

Event Date

Event Time (include beginning and end)

Setup Time

Room Requested

Sponsored by

..............................................................

Member Status: Yes, I am a member of Holy NativityNo, I am not a member of Holy NativityI am an outside group

Kitchen Use: Arrangements must be made with Fellowship in advance if you are planning on
using the kitchen in the Family Life Center for your event.
Please indicate below if you will need the kitchen for your event.

Please Select OneYes! We will need the kitchen for our eventNo! We will not need the kitchen for our event

Special Instructions: