Event_____________________________________ Name of

---

The Church of St. John the Divine Reservation / Set up Request

Event_____________________________________ Event___________________________ Name of Group_____________________________ Date Event________________________  of Church Group  Outside Group Recurring Event (Dates) __/__/__to __/__/__ Date of Event_______________________________ Group_______________________________ Time Needed _______a.m./p.m.to ______a.m./p.m.  Church Group (Account #_________) Contact Person______________________________ Time: _______am /pm to ______am/pm Home Phone Room ____________________________

Number of Attendees____________________

Beverages  Coffee__________________________  Tea____________________________  Juice___________________________  Lemonade ______________________  Ice ____________________________  Water__________________________ Food Service (Call 713-297-8704)  Cookies_________________________  Meal___________________________ Childcare (Call 713-354-2266) Number of Children expected _________ Ages of Children ___________________

Contact Person__________________________ Address_______________________________ Phone_________________________________ Cell phone______________________________ Email__________________________________ Equipment Flipchart/Easel Podium only Microphone w/podium Portable PA system Portable soundboard Smart Board (room 208) TV/DVD DVD/VCR Screen size _______ Piano Tables (round) Tables (long) Chairs Tablecloths (85 round) Tablecloths (10 ‘long) HSS required Security and Parking Valet Crossing Guard Extra Security

Quantity _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______

Price

________ ________ ________

Set up Diagram W

S

N

E