Facility Request Form

Facility Request Form
Group Information
Event Name / Type of Event*
Group Name
Contact Name

First NameLast Name
Contact Number

Area CodePhone Number
E-mail
Event Information
Event Date*

MonthDayYear
Event Time*

:HourMinutesAM/PM Option
until
until :HourMinutesAM/PM Option
Is this a recurring event?*

YesNo
If Yes, How frequent
Daily, Weekly, Monthly or list dates
Does the event require Set-up and/or Clean-up*

YesNo
If yes, how much time do you need?
hours or days
Resources Needed*

Fellowship HallKitchenSanctuaryResource RoomConference RoomWhole ChurchOther
Does the event require the use of the church buses?*

YesNo
Is the event open to the whole church or just the specific group requesting space?*

Whole ChurchSpecific Group
Do you have a way to get into the building for the event?*

YesNo
Additional Information
You are required to clean up after you event. This includes cleanup of all materials used, cleaning surfaces, vacuuming & mop and taking out the garbage. You will also be responsible to set-up and reset-up the furniture for this event. Please plan ahead so that you have the necessary number of volunteers to assist in this.*

Agreed
Completion of this form does not guarantee that you will recive your preferred space and or date for your event. You will be notified by the church office within a week of completion of this form. Request are fielded on a first come, first serve basis.
Today's date*

MonthDayYear
Date
Full Name*
by typing your name here you agree to the terms of this form.
Should be Empty: