Facility Request Form

Each ministry or department approved to use the facility is responsible for the set up and tear down of tables and chairs.  For more information, please refer to the Facility Usage Guidelines in the Facility Usage Policy.

Today's Date*

Activity*

Date(s) of activity*

Day(s) of Activity (check all that apply)* (days of the week)
SundayMondayTuesdayWednesdayThursdayFridaySaturday

Activity Start Time*

Activity End Time*

Building(s)/Rooms(s) Requested*

Room(s) needed by: (time)

Room(s) end time: (time)

Activity Comments (comment box)

# of Tables needed

# of chairs needed

Setup Comments

I have read the Facility Guidelines and agree that my ministry will be responsible for the set up and tear down of tables and chairs.*

I have read the Facility Guidelines and agree to the specified fees therein.*

Contact Person

First Name*

Last Name*

Address 1 (if first time to make a request)

City (if first time to make a request)

State (if first time to make a request)

Zip (If first time to make a request)

Home/Cell Phone*

Work Phone

Email Address*

Will there be an offering, fundraising or product sales involved? By selecting yes you are also acknowledging that you have prior approval as well.*

Need media equipment?

After completing this page, please submit your request for media equipment.