St. Ignatius of Antioch Hall Rental Request Form (Ver 01/20)

Please complete this form to make a Hall Rental Request   Thank you!

Type of Rental:   

Last Name:               First Name:    

Organization (if Applicable):     




Date of Event:               Hours of Use:    

Estimated number of Participants:    

Please check all that apply:

Alcohol Served:    

Liability Insurance Premium to be Purchased (add $145.00):    

Setup Required ($225):    

Please describe your event:

Fees shall be paid as follows:

Hall Rental fees plus $150 security deposit due upon execution of the service agreement

Balance due is payable upon execution of agreement - Please Note: The Security Deposit shall be refunded after the event provided the hall is left in acceptable condition