Facility Use Request Form

Facility Use Request Form

Please complete the following form to request use of ADRN facilities.
Leader Name/Point of Contact

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Purpose/Type of Meeting
i.e., church service, prayer meeting, training, etc
Which area(s) are you requesting? (check all that apply)

AuditoriumEvent SpaceConference Room(s)Other
Frequency

One-time UseOngoing WeeklyOngoing MonthlyOther
Date

MonthDayYear
Date
Week of the Month
Day of the Week
Time

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
Number of Attendees
How many people are you expecting to attend?
Will you be using the sound system? If so, for what? (check all that apply)

MicrophonesMusic (through TV)InstrumentsPresentationOther
Will children be present?

YesNo
Will children have a dedicated chaperone?

YesNo
How will you be handling cleanup?

DIY (handling the cleaning requirements on my own)Service (paying the cleaning fee)
I will give a donation to ADRN via check or online:

YesNo
Should be Empty: