Facilities Request

Name of Group/Individual/Organization

Name of Person in Charge of Activity and Contact Number

Church Function
YesNo

Requested Date of Event

Alternate Date of Event

Type of Meeting (Please specify if it is a lecture, lunch, banquet, meeting, etc.)

Recurring
YesNo

Frequency

# of People Expected

Beginning Time of Event (Please include decorating and set-up time in these hours)

Ending Time of Event

Please Mark the Room You are Requesting to Use
Worship CenterMusic SuiteClassroomYouth RoomFellowship HallKitchen (requires a separate Kitchen Request From)

Please describe any special room arrangement desired.

Equipment Needed

Please list below any special equipment needed and desired quantity in the space provided.

Long Tables

Round Tables

Easels

Trash Cans

Podium

Chairs

Marker Board

Monitors and cable removed from stage

Keyboard removed from stage

Drums removed from stage:

Choir chairs removed

Other (please specify)

Media

Please list below any special media equipment needed and desired quantity in the space provided.

Floor Microphone

Handheld Wireless Mic

Lapel Mic

Sound System

Portable Sound System

Keyboard

Audio Recording

Video Recording

Overhead Projector

TV/VCR/DVD

Video Projector

Power Point (you are responsible for providing the computer)

Food Service

Please list below any special food service needed in the space provided.

Will a meal/refreshments be served?
YesNo

If yes, will it be catered
YesNo

Will church kitchen facilities be needed?
YesNo

Vehicle

Please list below any vehicles needed in the space provided.

White GMC

Driver's Name(s)

Your Email

Attach your Facilities Request Form in pdf format here: