Building Request Form

Contact Information

Your Name

Phone Number

Email Address

Church Member
YesNo

Staff Person Responsible

Facilities Needed

Regular scheduled church programs have first priority in use of church facilities

Ministry

Event Date

Start to End Time

Event Name

Room/Location Needed To Reserve

Promotion Schedule/Needs

Sunday Bulletin

Date to be published in bulletin

Wednesday Prayer Lines

Date to be published in prayer lines

On the Journey Newsletter

Date to be published in newsletter

Resources Requested

Projector

Sound System - Worship Center (technician required)

Sound System - Family Life Center (technician required)

Projection Screen (portable)

TV/DVD

Die Cut Machine

Copier

Round Tables

How many?

Long Tables

How many?

Chairs

How many?

Food/Cleanup

Kitchen Use
YesNo

Preparation Only (Meal Being Brought In)Full Meal Cooking Needed (Meal Prepared in Kitchen)

Quantity of Utensils Needed
Forks

Knives

Spoons

Plates

Napkins

Who is responsible for cleanup? Names and phone #'s

Kitchen Rules:

1) Please leave everything as you found it

2) If you bring anything in, please take it with you as you go

3)Any used lines or towels are to be washed and returned as soon as possible

4) Please let the office staff know , if you used something, and if you used something not planned on so it can be replaced----Thank you!

Childcare Request (for ages birth to pre-K upon availability and approval)

YesNo

How many children?

Ages of Children

Date(s) Needed

Time(s) Needed

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