Event and/or Facilities Request Form
*Please fill the form out in full and someone will contact you to let you know if the facility is available. Thanks!
Event Name / Type of Event
*
If this is a Cornerstone Ministry Event, what is the purpose or desired outcome?
Contact Name
*
First Name
Last Name
Contact Number
*
-
Area Code
Phone Number
E-mail
Event Information
Event Date
*
/
Month
/
Day
Year
Date Picker Icon
Will this be a Recurring Event? If so, please select weekly or monthly, and then select the day of the week. If the recurrence is something other than weekly or monthly, select "other" and let us know how often.
Weekly
Monthly
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Other
Event Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
until
until
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Expected Attendance
*
Please note:
No red beverages of any kind.
Areas Requested
*
Cafe
Kitchen (west)
Atrium
Worship Center
West Wing
HUB (all areas)
Family Fun Room
Classroom(s)
Outside Areas
Unsure / will discuss
Hub Kitchen
Other
Additional Requests (use the "additional information" below for details on anything you check in this section)
*
None
Promotional Assistance (please specify below)
Cash Box
Tech Support (please specify type of support requested below)
Tables (please indicate round or rectangle and number of tables below)
Chairs (please indicate number of chairs below)
Other
Additional Information (table/chair needs; specific tech needs such as microphone, sound, video; promo requests):
OFFICE USE: _______________________________
(sponsoring site staff person)
Submit
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