Facility Request Form

Your Name (required)

Your Email (required)

Describe the nature of the event for which the facility is being requested

Group of Party Requesting Facility

How many are anticipated to be participating in this event?

Date of the Event (required)

Start Time - End Time (required)
Start: End:

Repeated Event?
If checked, describe the frequency of this event:

Facilities that will be needed:

Describe which classrooms:

Equipment that will be needed:
Musical Instruments (Please state which one(s)):

Sound Equipment (Please state which one(s)):

Video Equipment (Please state which one(s)):

Sports Equipment (Please state which one(s)):

Other (Please state which one(s)):

Tables (How many?):

Chairs (How many?):

This event will require:

Rehersals? If rehearsals are needed, when?:

Someone to operate the sound equipment?

Special decorations? Who will be providing them?:

In requesting the use of the facility you must understand that we have no one on staff available to set up for your event or to clean up and set up after your event is finished. This is your responsibility fully! We would appreciate your remembering there is NO SMOKING in the facilities anywhere and this needs to be communicated to those attending your event. Also, NO ALCOHOLIC BEVERAGES of any kind are to be brought into or consumed in any way in this facility or on its grounds. The facility is to look as good as the way you found it, and it must be set up by your group for the next regularly scheduled event as you leave. The requesting party assumes all responsibility for any damage to property or equipment while being used by you or your guests.

Who will be setting up for your event?:

When will they be coming to set up? (Date and Time):

Who is responsible to clean up and set up for regular ministries after your event is over?:


Signature of Requesting Party (required):

Type the characters you see in the image below: