Love, Joy, Peace...
Name (Required)
 
Email Address (Required)
Group requesting use of facility:
Date(s) Requested:
If recurring, please indicate start date and end date.
Time of Day:
Beginning time and end time
Person of Contact and their telephone number:
Access to building:
Facilities Needed:
Please indicate all rooms you are requesting to utilize.
Multi-Purpose Main Worship Center
Youth Area (Large group)
Children's Area (Large Group)
Library / Conference Room
Foyer / Entrance
Playground
Old Sanctuary
Kitchen
Outdoor Quad / Picnic Area
1 Classroom
2 Classrooms
3+ Classrooms
Equipment Needed:
TV/DVD
Sound System
Movie Screen
Power Point
Coffee Pot(s)
Ice Chest(s)
Popcorn Machine
Cotton Candy Machine
Snowball Machine
Please explain the activity being held:
Estimated number of people attending:
Would you like this event announced?
No
Yes (must fill out separate request form)
Responsibilities after Building Use: Please note that it is the responsibility of the group or individual using the facility to set up, clean up and return the facility to normal setup after the approved event or activity. 1. Collect all garbage into bags
The person/organization requesting the use of Church facilities hereby absolves the church, its pastors, leadership, members, or people of any liability for personal injury to any individual resulting from the use of the church facilities and agrees to be
KITCHEN ETIQUETTE- 1. Check with the church office for availability of date desired. 2. There could be more than one activity that uses the kitchen in the same week. Therefore, we request that you check with the church office before you bring your supplies
Please indicate who the coordinator is and their telephone contact in addition to any helpers and their telephone numbers as well.
The submission of this form indicates acceptance of all guidelines outlined above and approval from the office is pending until confirmation.
Type your full name as your signature.