Department Requesting Facility: *
Time Needed: Beginning 6 AM 7 AM 8 AM 9 AM 10 AM 11 AM 12 PM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 9 PM 10 PM 11 PM Ending 7 AM 8 AM 9 AM 10 AM 11 AM 12 PM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 9 PM 10 PM 11 PM
Purpose of Use: *
Has a Ministry Event Form been submitted:
Will your event provide Child Care?
Expected Attendance: * Charge for Event? *
Check Facility Area/s Needed:
Church Vehicle Needed: Truck Bus
Driver(s): Special D/License #
Church Equipment Needed:
Cleanup: Ministry Staff using facility Paid Maintenance (Fee)
Request Submitted By: * *
Day Phone #:
Alternate Contact #:
Email Address: