The HOUSE Committee requests members use the following form to schedule Club facilities. Copies of the form may be obtained from the 1^st VP, Bauernstube bartender, or http://www.delawaresaengerbund.org/v5_Info.shtml#Forms. Please return the completed form to the 1^st VP or a bartender.

Use of DSB Facilities Request

Name of the Committee or Member:	______________________________________________
Address:	______________________________________________
Phone:	______________________________________________
Number in the Party:	_______________

Date Required: _____________________ Start Time: __________ End Time: _________

Facilities Required:	Yes	No	Minimum
Von Steuben Zimmer . . . . . . . . . . . . . . . .			75
Deutsche Halle . . . . . . . . . . . . . . . . . . . . .			100
Bauernstube . . . . . . . . . . . . . . . . . . . . . . .			50
Kitchen. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pavilion . . . . . . . . . . . . . . . . . . . . . . . . . . .
Soccer Fields. . . . . . . . . . . . . . . . . . . . . . .
Children’s Room . . . . . . . . . . . . . . . . . . . .			6
Other (Specify)_____________________

Other Information the DSB might need to know to meet your request:

__________________________________________________________________________

Member Signature:	_____________________________	Date: ________________
Received by:	_____________________________	Date: ________________
Kitchen Chair Signature:	_____________________________	Date: ________________
Scheduling Agent Signature:	_____________________________	Date: ________________
First Vice President:	_____________________________	Date: ________________
Second Vice President:	_____________________________	Date: ________________