Facility Request Form -ArchNY

*Please fill out and submit this form prior to filling out the Catering Form.

*Please review the following policies prior to filling out and submitting this form:

*For insurance reasons, you have to obtain the following documents from vendors:

Certificate of Liability Insurance
Fill out the Vendor Hold-Harmless Agreement and ask the vendor to sign the Hold-Harmless Agreement.
Please submit copies of the aforementioned documentation to the Events Coordinator five days before your function date.
Please contact Catholic Mutual Group for the copy of the Vendor Hold Harmless Agreement and insurance based questions.

*Please contact the Events Coordinator if you have any further questions at (914) 367-8201.

Thank you!

Title of Event: REQUIRED Please fill out this field. Please enter valid data.

Purpose or Theme of Event: REQUIRED Please fill out this field.

Date(S) of Function(s) REQUIRED Please fill out this field.

Alternate Date(s): REQUIRED Please fill out this field. Please enter valid data.

Department/School/Parish Name: REQUIRED Please fill out this field. Please enter valid data.

Supervisor of Event: REQUIRED Please fill out this field. Please enter valid data.

Supervisor Contact Info: REQUIRED Please fill out this field.

Email: REQUIRED Please fill out this field. Please enter an email address.

Department/School/Parish Address: REQUIRED Please fill out this field.

Billing Address (if different from above):

Projected Attendance: REQUIRED Please fill out this field. Please enter valid data.

Age Group: REQUIRED Please fill out this field. Please enter valid data.

For Youth Functions: How many chaperones (required ratio 1:8)? Please review the Office of Safe Environment's requirements for chaperones. Please enter valid data.

Is this Event Co-Sponsered? Yes No

If yes, by whom? Please enter valid data.

Do you intend to issue press release? If yes, please submit a copies of the press release and flyers to the Events Coordinator for the Rector's review and approval. Yes No

Is the media going to attend? Yes No Maybe

What means will be used to advertise this event? (Please specify all that applies)

Newspapers: Please enter valid data.

Websites: Please enter valid data.

Social Media: Please enter valid data.

Other: Please enter valid data.

Event open to: Registrants Public Members Seminarians (St. Joseph Seminary) Personnel on Campus (St. Joseph Seminary) N/A

Set Up Time (Earliest Set Up Time 8:00 AM) : REQUIRED Please fill out this field. Please enter valid data.

Door Opens: REQUIRED Please fill out this field. Please enter valid data.

Event Start Time (Earliest Start Time 8:30 AM) : Please enter valid data.

Door Closes: Please enter valid data.

Event End Time (Latest End Time 9:00 PM) : Please enter valid data.

Break-down Time (Latest Break-down Time 9:30 PM) : Please enter valid data.

Microphone(s):
Please specify total number of microphone(s) needed per location

Wireless Lavalier Please enter valid data.

Handheld Please enter valid data.

Microphone at Podium Please enter valid data.

Requested Location for Microphone(s) Please enter valid data.

Total Number of Tables/Chairs (please include the locations)

Audio Visual Equipment Power- point Projector Screen Does your laptop have a HDMI port? Does your laptop have a VGA port?

Additional Requests/Special Needs:

Hourly ovetime pay scale per ABM staff:

Time and a half (Saturday/after regular hours of operation): $28.00-$30.00
Double time (Holidays/Sundays) $37.00- $40.00

Additional costs may be applied if ABM maintnance/ custodial staff provide any services.
Visitors may be responsible for set up/clean up of activity area.

Liturgical Information

We are pleased that you have come to celebrate Mass in our beautiful and historic chapel.

Please note:
CIC 932 §1. The eucharistic celebration is to be carried out in a sacred place unless in a particular case necessity requires otherwise.

The following information will be of use to you as you prepare for the celebration of Mass at Dunwoodie. Please review for more information.

Number of non-concelebrating guests : Please enter valid data.

Number of concelebrants: Please enter valid data.

Name of Celebrant: Please enter valid data.

Name of Deacon: (if applicable) Please enter valid data.

Organist/Cantor: (if applicable- see liturgical music policy) Please enter valid data.

Liturgical day or feast being celebrated: Please enter valid data.

I have read, understand, and agree to the terms, conditions, and all policies.

I Agree Please select this field.