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HOME|EVENTS|FACILITY USE REQUEST FORM

FACILITY USE REQUEST FORM


Please complete the following:

(Note: Fields marked with an asterisk are required.)
Start Date:  *  Date Selector
End Date:  *  Date Selector

Department Requesting Facility:    * 

Time Needed:     Beginning   Ending

Purpose of Use:  * 

Has a Ministry Event Form been submitted:

yes   no

Will your event provide Child Care?

yes   no

Expected Attendance:    *    Charge for Event?  * 

Check Facility Area/s Needed:

  Main Sanctuary
  Fireside Room
  Cafeteria Kitchen
  Gymnasium
  Parking Lot
  Prayer Room
  Other
   (Specify)
    Classroom
    (Specify Rm #s)
  Fireside Kitchen
  Cafeteria Dining Room
  Playground
        Preschool
        Big
  Quad
  Board Room

Church Vehicle Needed:   Truck       Bus

Driver(s):   Special D/License #

Church Equipment Needed:

Tables
      Round   Qty     Long   Qty

  Chairs
      Qty:
  Audio
  TV
  Tape Recorder/Portable CD Player
    Podium
  Microphones
    Qty:
  VCR
  Piano
Other (Specify)

Cleanup:     Ministry Staff using facility   Paid Maintenance (Fee)

Request Submitted By:  *   * 

Day Phone #:

Alternate Contact #:

Email Address:

 *  I have read and agree to the responsibilities


 

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