Kitchen Request

Kitchen Request
Name of Event*
Date of the Event*

MonthDayYear
Date
Start Time*

Hour Minutes

AM/PM Option
End Time*

Hour Minutes

AM/PM Option
Number of People *
Set Up Date*

MonthDayYear
Date
Set Up Time*

Hour Minutes

AM/PM Option
Kitchen Choice*

CLC KitchenStaff Kitchen (for use with room 100)
Consumable Items Needed: Consumable Items are only available to Ministry groups of the church. Sunday School parties and private events will not be provided Consumables.

Dinner, Disposable PlatesSmall, Disposable Dessert PlatesBowls, Disposable Salad BowlsPlastic ForksPlastic SpoonsPlastic KnivesNapkinsFoam Cups 8 ounceFoam Cups 16 ounceDisposable Aluminum Pans (Full) Indicate number needed belowDisposable Aluminum Pans (Half) Indicate number needed below
Non Consumable Items Needed

Salt & Pepper ShakersDrink Dispensers (Note quantity in notes below)Coffee Carafes (Qty Below)PunchbowlIce BucketsChafing Trays and BurnersServing Spoons (Plastic)Serving Tongs (Plastic)Dinner PlatesCups/SaucersGlassesSilverware
Plates, cups, napkins, & utensils quantity will be based on estimated number of people above. Indicate Quantities for any other things above (Drink dispensers, carafes, aluminum pans, ice buckets, chafing trays):
Kitchen Equipment to be Used:

Gas Stove & OvenConvection OvenWarming UnitDishwasherMicrowaveRefrigeratorIce MachineFreezer
Responsible Person in Charge: *

First NameLast Name
The responsible person needs to remain at the event for its entirety. I, the person responsible for the event, affirm that I have read the Kitchen Policies and Procedures and agree to abide by them.

I agree to
- Take out all trash.
- Take towels & aprons to be washed & return.
- Return any serving spoons/tongs to the proper drawer or tote.
- Leave the kitchen in a neat & clean state.
Signature*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Should be Empty: