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Facility Request Form
Group/Ministry Requesting Facility:
Group/Individual Assuming Responsibility:
Primary Contact Phone Number:
Email:
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
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Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code:
FACILITY USAGE IS FOR:
Ministry
Personal
Other
Date Requested:
Day Of The Week:
Time:
Number Of People:
Please select
1-5
6-10
11-20
21-30
31-40
41-50
50+
Briefly explain activities planned:
EVENT EQUIPMENT:
Available Tables:
1 -3 ft. metal 22 -6 ft. white 5 -8 ft. white 30 round
Available Chairs:
500 padded 260 folding
REQUESTING:
Tables:
#3'
#6'
#8'
Chairs:
# padded
# folding
Round Tables:
Please NOTE that those responsible for this event are also responsible to find the people or committee members for the following area (this area MUST be completed):
Person/Group Responsible
Tear-down (chairs, tables, etc.)
Set Up (chairs, tables, etc.)
Catering
Printed Materials/Handouts
Clean-up
AV or Sound
Unlocking Building
Locking Building
PLEASE INDICATE THE ROOMS NEEDED FOR YOUR EVENT:
Lobby
Room 112a
Room 108
Room 122
Auditorium
Room 112b
Room 110a
Room 124
Kitchen
Room 107
Room 110b
Room 126
Nursery
Basement
Room 114
Education Wing
Room 206
Room 200
a
b
c
d
Room 202
a
b
c
d
Room 210
a
b
Room 208
a
b
Facility Request Form
Group/Ministry Requesting Facility:
Group/Individual Assuming Responsibility:
Primary Contact Phone Number:
Email:
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code:
FACILITY USAGE IS FOR:
Ministry
Personal
Other
Date Requested:
Day Of The Week:
Time:
Number Of People:
Please select
1-5
6-10
11-20
21-30
31-40
41-50
50+
Briefly explain activities planned:
EVENT EQUIPMENT:
Available Tables:
1 -3 ft. metal 22 -6 ft. white 5 -8 ft. white 30 round
Available Chairs:
500 padded 260 folding
REQUESTING:
Tables:
#3'
#6'
#8'
Chairs:
# padded
# folding
Round Tables:
Please NOTE that those responsible for this event are also responsible to find the people or committee members for the following area (this area MUST be completed):
Person/Group Responsible
Tear-down (chairs, tables, etc.)
Set Up (chairs, tables, etc.)
Catering
Printed Materials/Handouts
Clean-up
AV or Sound
Unlocking Building
Locking Building
PLEASE INDICATE THE ROOMS NEEDED FOR YOUR EVENT:
Lobby
Room 112a
Room 108
Room 122
Auditorium
Room 112b
Room 110a
Room 124
Kitchen
Room 107
Room 110b
Room 126
Nursery
Basement
Room 114
Education Wing
Room 206
Room 200
a
b
c
d
Room 202
a
b
c
d
Room 210
a
b
Room 208
a
b
9:00 am
Worship Service
10:30 am
Worship Service