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Madonna della Strada Chapel - Internal Usage Form

Part I
All fields are required.
Please indicate "n/a" if the question does not apply to your request.
Chapel Location:
Name of Event:
Date of Event:
Time of Event:
Contact Person:
E-mail:
Phone:
Part II
Please select the type of event:
Estimate the length of the event:
How many people do you expect to be in attendance?
If you are having a Mass or another type of liturgy who will be the priest/presider/celebrant for the liturgy?
Please indicate "n/a" if this does not apply to your request.

Name:              E-mail:  
Phone:  
Do you plan to produce printed program or order of service? YES NO
Do you request sacramental life to produce a basic order of service for you?
(If yes, someone will contact you. Additional fee required.)
YES NO
Do you plan to have music at this event?
(If yes, the chapel music director will contact you regarding music.)
YES NO
Do you require the services of the chapel music director? YES NO
Do you require the services of a cantor? (singer) YES NO
If you do not require the services of the chapel music director and are having music, please explain how the music will be executed and provide contact information for the musicians.
(All music must be approved by the chapel music director.)
Please indicate "n/a" if this does not apply to your request.

Do you have any special requests for lighting or sound?
If yes, please indicate below:
Please indicate "n/a" if this does not apply to your request.

Are you planning on any special environment? Such as banners, flowers, decorations, etc?
Please indicate "n/a" if this does not apply to your request.

Please indicate any other needs that you may have:
Please indicate "n/a" if this does not apply to your request.



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