Facility Use Request Form

Facility Use Request Form
Ministry Requesting
Event Details
Event Name
Example: Academy Class, Team Meeting, Trunk or Treat
Event Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Room(s) Being Requested (select all that apply)
Other than what is already in the room, will your event need?
Is this a recurring event? If so, enter details below.
Example: Every week for 6 weeks, Every third Monday, etc
Facility Access Time

What time do you need access to the building for set up? Minutes

AM/PM Option
Start & End Time

The time people will arrive for and leave from your event

AM/PM Option

Unitl

AM/PM Option
Facility Exit Time

What time will you be leaving the building after clean up?

AM/PM Option
Estimated Attendance
Brief Event Description
Contact Details
Requestor Name

First NameLast Name
Requestor Email
example@example.com
Requestor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Event Contact Name **if different from above**

First NameLast Name
Event Contact Email*
example@example.com
Event Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
If your event requires technical support, be sure to contact Harrison to coordinate.
By submitting this form, you and the event contact acknowledges and agrees to assume full and complete responsibility for all necessary cleanup, waste removal, and facility restoration following the conclusion of the scheduled event. This includes, but is not limited to, removing all decorations, resetting rooms, vacuuming/mopping (if necessary) and disposing of all food and trash to the dumpster. Failure to meet these cleanup standards may result in potential denial of or limited use for future requests.
Should be Empty:

Facility Use Request Form

Event Details

Contact Details