Facilities Request Form | Palmer Memorial Episcopal Church

Please complete the Facilities Request Form below. A staff member will reach out to you to confirm your request. If you have not received confirmation in 2-3 business days please email or call 713-529-6196 during regular business hours. *Note all campus events require a security guard to be present. Any events that occur outside of regular business hours will have additional fees for security and custodial staff.

For visiting organizations or individuals: Approval for events must be acquired at least three (3) weeks in advance of the scheduled event. A Rental Agreement Contract will be drafted and the organization/group representative notified when the contract is ready to be signed. A Certificate of Liability Insurance is required. Use the attachment button located in the request form below.

Facilities Request Form

Name*

Organization/Ministry/Family Name*

Email*

Phone*( ) -

Date of the Event*

Start and End Times

Please detail exact start and end times including setup times.

Standing Requests - If this is a standing request please specify the day of the week and the frequency (daily, weekly, monthly, yearly)

What kind of event is it?*

Which room are you requesting?*

Estimated Size of Attendance

Will you have AV needs?*

Microphone and Speakers

Speakers Only

Hybrid Meeting Setup (Only Available in A102 and A202)

Projector

Laptop

*Note events using AV systems in the nave or St. Bede's Chapel will require a Palmer technical staff member.

Will there be food or catering at your event?

Yes

If there is a caterer, please provide the name.

Please upload a Certificate of Liability Insurance

Please upload a Certificate of Liability Insurance. Required only for Off-Campus Organizations or Individuals

Special Needs or Requests

Please leave this field blank.