CCC Facility Usage Request Form
Name of the CCC Member responsible for this request:
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Name of the Event
*
Please provide the name(s) of the group, organization, or individual that this event is sponsored by:
*
In a sentence, describe this event
*
Date of Event
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Start Time of Building Access (when you first need access to space)
*
Hour Minutes
AM
PM
AM/PM Option
Start Time of Event
*
Hour Minutes
AM
PM
AM/PM Option
End Time of Event
*
Hour Minutes
AM
PM
AM/PM Option
End Time of Building Access (when you'll completely leave the space)
*
Hour Minutes
AM
PM
AM/PM Option
Which rooms/spaces would you like to reserve?
*
Warehouse Space
Kitchen
Sunday School Classroom
Discipleship Classroom 3rd-5th
Is this a one-time event or recurring event?
*
one-time event
recurring event
How many adults do you anticipate will be in attendance?
*
How many children do you anticipate will be in attendance?
*
Will you use our Nursery for childcare?
*
Yes
No
Is this a closed event or an open event?
*
Will an attendance charge be collected?
*
Yes
No
If yes, how much will be charged?
Will food be served?
*
Yes
No
If yes, what kind of food will be served?
Will a product/service be offered for sale?
*
Yes
No
If yes, what will be offered for sale?
Would you like to use CCC Audio/Visual equipment for your event?
*
Yes
No
If yes, what equipment do you need to access?
Submit
Should be Empty: