Facility Use Agreement Form
Person Reserving Facility
*
Today's Date
*
-
Month
-
Day
Year
Date
Individuals/Group Requesting Facility
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Back
Next
Date Needed
*
-
Month
-
Day
Year
Date
Event Starting 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
Event Ending 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
Time building needs to be open on day of event. (Maximum 4 hours before event)
*
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
*
Describe Meeting
*
Room(s) Requested
*
Sanctuary (no food or drinks allowed)
Foyer
Fellowship Hall
Kitchen
Will food/beverages be served?
*
YES
NO
If yes, # of SERVING tables required
If yes, # of SEATING tables required
Do you need tablecloths? (extra charge, as they have to be dry cleaned)
YES
NO
Room Set-up Request
*
Using the Sound System? (If Sanctuary - must use our tech - extra charge)
*
YES
NO
Using wireless microphones(s)?
*
YES
NO
If so, how many?
Using the multimedia/projector screens? (If Sanctuary - must use our tech - extra charge)
*
YES
NO
If yes, type of multimedia?
Do you want video recording of event? (Sanctuary only - extra charge)
*
YES
NO
Will children be at this activity?
*
YES
NO
Ages of Children
What provisions are made for children?
Back
Next
Confirmation
*
I have read and agree to the Facility Use Policy located on your website.
*
I understand that there may be a building use charge and I will be contacted by an FBC staff member when my form has been received and reviewed.
Questions or comments
Signature
*
Submit
Should be Empty: