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APPLY FOR ACCESS TO THE CATHOLIC CENTER

- We are so excited that you are interested in having a student access code for the Catholic Center. We hope that this will provide you with space to pray, learn, and be in community throughout the week!
  
  Having the code is a privilege, and thus comes with a significant amount of responsibility, so before giving you the code for the semester, we ask that you fill out the following form and contract with the guidelines and expectations for all students who are given the access code.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Contact Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  UC Email Please enter an email address.
  
  Non-UC Email (if applicable) Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Code Access
  
  Are you graduating this semester? REQUIRED Yes No Please fill out this field.
  
  Contract
  
  If given an access code, I hereby understand that:
  
  Please initial after each statement
  
  My code is to be used only for going to study in the classrooms and meet with groups for community and faith-based gatherings. REQUIRED Please fill out this field. Please enter valid data.
  
  I will be respectful of other groups and meetings happening around the building REQUIRED Please fill out this field. Please enter valid data.
  
  I am responsible for ensuring that the doors are closed behind me upon entering and leaving the building. I will not prop open any doors, and I understand that this will set off the alarm. REQUIRED Please fill out this field. Please enter valid data.
  
  I am not to give out my code to anyone. If someone asks to borrow my code, I refer them to this form to retrieve their own code. REQUIRED Please fill out this field. Please enter valid data.
  
  If I need a space on a recurring basis, I will schedule with Hannah@uptowncatholic.org REQUIRED Please fill out this field. Please enter valid data.
  
  If theft or damage occurs, I will be held responsible. I will keep the space clean, tidy, and will take care of any trash, moved furniture, or personal belongings. REQUIRED Please fill out this field. Please enter valid data.
  
  The Parish has a right to revoke code privileges at any time, for any reason. REQUIRED Please fill out this field. Please enter valid data.
  
  Submit
  
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