Facilities Request Form

Event Name: *

Event Date: *

How often will this event happen?:

Is this a recurring event or a one-time only event?

If recurring, when will this event end?:

If recurring, please list dates when the event will NOT occur:

Please list dates such as Christmas, Spring break, etc. when you will not be meeting.

Other room(s) needed:

Facility use start time: *

Facility use end time: *

Event start time: *

Event end time: *

Person Responsible for Event

Name: *

Ministry/Organization:

Home Phone #: *

Email address: *

Food Service Needs

Is Food Service needed?:

Food Service Type:

Budget Line:

Audio/Video Needs

Please let us know what your A/V needs will be.

Equipment Notes:

Note any extra equipment needs you might have (e.g. VCR player, wireless mic, etc.), as well as any special instructions regarding your equipment.

Is a Sound Tech needed?:

Sound Tech Hours:

If you are using any A/V equipment in the sanctuary, you will need to pay $15.00 per hour for a Sound Technician. The total number of hours you request should cover the duration of your event, plus an extra hour for set up/tear down. Payment can be submitted to the Worship Ministry.

If you need a sound tech, this request should be submitted at least 20 days prior to the event.

Budget Line (if using church budget):

Room Setup

Number of round tables needed:

Number of rectangular tables needed:

Number of chairs needed:

Setup type:

Horseshoe:

Rows:

Banquet Style:

Please select the picture closest to your desired room setup.

Additional equipment:

Is there any additional equipment you need?

Is childcare needed?:

In order for childcare to be provided, your request must be turned in no later than two weeks prior to the event.

Other requests/comments:

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