Ministry Area*
Staff Name
Contact Name if NOT Staff
Contact Phone #*
Email Address*
Name of Event*
Number of People Expected*
THREE CHOICES: one day event, standing reservation, or miscellaneous dates. Complete only the area below that applies to your event(s).
Day of Week
Date(s) of Event*
Start Time of Event*
End Time of Event*
Comments, exceptions, miscellaneous dates, etc.
This form must be completed at least two days prior to event start date to guarantee complete set-up.
Set-Up/Table Style
Quantity of Chairs/Tables Needed
OPTIONAL: Use this area to indicate specific room set-up details.
Building Services Set-Up by What Time*
Room Requested - First Choice
Room Requested - Second Choice
Multiple rooms requested or comments - please list here
Has required insurance information been submitted? (For Nazareth Hall, Dorothy Day Social Hall, Hall of Martyrs)

PLEASE NOTE PAX CHRISTI ROOM USAGE: MEETING/CLASS ROOMS: Pax Christi meeting spaces provide wireless internet only (no Ethernet connection). Please bring your own connectors if you will be using our AV equipment (LCD projector, TV/DVD player). HALL OF MARTYRS ONLY: A 1/8" MP3 audio jack is available as well as a VGA connector if you will be connecting a laptop to our over-head AV equipment. MAC USERS please bring your own adaptors/dongles.

PLEASE NOTE: Beverage service will be provided only to groups of 25 or more. Beverages available in Dorothy Day Social Hall.
Number of Servings

White table linens at $4 each. Indicate quantity below each size. 71"x71" fit the round tables. 114"x53" fit the rectangle tables.
71" x 71" square table linen
114" x 53" rectangle table linen