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
Format: (000) 000-0000.
E-mail
example@example.com
Are you a Wake Chapel Church Disciple
Location / Rooms you are requesting
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
Name of Caterer
Do you require assistance with setup for the event
Are Multimedia services required (sound, video, lighting, projection, etc.)?
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?
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?
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: