WCC Facility Rental Request Form

WCC Facility Rental Request Form

4509 Bland Road
Renters Name*

First NameLast Name
Affiliation or Group Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website
Phone Number*
E-mail*
example@example.com
Are you a Wake Chapel Church Disciple*

YesNo
Location / Rooms you are requesting*

SanctuaryClassroomKitchenGreen RoomFellowship Hall
Event Name*
No. of People Expected*
Description of event*
Beginning Date Requested*

MonthDayYear
Date
Hour MinutesAM/PM Option
End Date Requested*

MonthDayYear
Date
Hour MinutesAM/PM Option
Proposed Budget*
Food or Beverage Required*

YesNo
Name of Caterer
Do you require assistance with setup for the event*

YesNo
Are Multimedia services required (sound, video, lighting, projection, etc.)?*

YesNo
Since you selected "Yes" from the above question, please contact the administrative office. We'll put you in touch with our Media Director.

Main office: 919-872-7776
Are musical instruments requested?*

YesNo
Since you selected "Yes" from the above question, please contact the administrative office. We'll put you in touch with our music director.

Main office: 919-872-7776
Do you carry your own liability insurance?*

YesNo
Since you selected "No" from the above question, please contact us to discuss non-insured rental options.

Main office: 919-872-7776
Any other details:
Should be Empty: