Click here to upgrade your Flash Player

Facility Request Form

Group/Ministry Requesting Facility: 

Group/Individual Assuming Responsibility: 

Primary Contact Phone Number: 

Email: 
Address: 
City: 
State:      ZIP Code: 



FACILITY USAGE IS FOR:
Ministry    Personal    Other  

Date Requested: 
Day Of The Week: 
Time: 
Number Of People: 
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:      ZIP Code: 



FACILITY USAGE IS FOR:
Ministry    Personal    Other  

Date Requested: 
Day Of The Week: 
Time: 
Number Of People: 
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