CCC Facility Usage Request Form

CCC Facility Usage Request Form
Name of the CCC Member responsible for this request:*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
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*

MonthDayYear
Date
Start Time of Building Access (when you first need access to space)*

Hour Minutes

AM/PM Option
Start Time of Event*

Hour Minutes

AM/PM Option
End Time of Event*

Hour Minutes

AM/PM Option
End Time of Building Access (when you'll completely leave the space)*

Hour Minutes

AM/PM Option
Which rooms/spaces would you like to reserve?*

Warehouse SpaceKitchenSunday School ClassroomDiscipleship Classroom 3rd-5th
Is this a one-time event or recurring event?*

one-time eventrecurring 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?*

YesNo
Is this a closed event or an open event? *
Will an attendance charge be collected?*

YesNo
If yes, how much will be charged?
Will food be served?*

YesNo
If yes, what kind of food will be served?
Will a product/service be offered for sale?*

YesNo
If yes, what will be offered for sale?
Would you like to use CCC Audio/Visual equipment for your event?*

YesNo
If yes, what equipment do you need to access?
Should be Empty: