Goetz Center Rental Request Form
*Required
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Current St. Brigid or St. James Parishioner?
*
St. Brigid
St. James
Not a member of either parish
Requested Event Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Requested Event Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Minimum 2-hour Event Rental.
Total Hours for Event
*
2
3
4
5
6
7
8
9
10
Type of Event
*
Will you be serving alcohol?
Yes
No
Additional Questions?
Submit
Should be Empty: