Event/Room Request Form

Event/Meeting Room Request Form
After completing this form, please print and return it to the church office or click the SUBMIT button to email it to the church office. Request should be submitted no later than 10 days prior to the proposed event.
Submitted by*

First NameLast Name
Date Submitted*

MonthDayYear
Date
Is the person submitting this request also the person responsible for managing the event or meeting?*

YesNo
Person repsonsible for managing the event or meeting:

First NameLast Name
Email for person responsible for managing the event:*
example@example.com
Name of ministry or group:*
Program/Purpose of event*
What room or location is being requested?*
Requested event date and time:*

MonthDayYear
DateHourMinutesAM/PM Option
Approx number of people will attend this event:
Is this request for a recurring event?

YesNo
Please list future dates:
What time would you like access to the room for SET UP?*

:HourMinutesAM/PM Option
What time will you leave the room after SET UP?*

:HourMinutesAM/PM Option
For Office Use: Approved _____ Denied _____ Reassigned _____

Date the group was informed of approval status: ___________
Should be Empty: