Cookeville Nazarene Church Facility Usage Request Form

Cookeville Nazarene Church Facility Usage Request Form

Please fill out the items below in full. Pastor Ryan will confirm your request. Please note that you are responsible for Set up and Clean up for your events. Trash taken out to the dumpster, vacuumed if needed. Rooms must be returned to original setup/designated setup. Tables and chairs must be returned to the storage space.
Name*

First NameLast Name
Today's Date:*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Event Date Requested:*

MonthDayYear
Date
Event Request Time: (Include any setup and clean up time needed) *

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Type of Event:*

Church MemberChurch Sponsored MinistryDistrict Sponsored MinistryCommunity Sponored EventCommunity PartnerCommunity Individual
Rooms Needed:*

SanctuaryGymnasiumMulti-purpose Rooms (113A&B; 114A&B)PavilionParking LotClassroom 115Classroom 116A&BClassroom 107-109Kitchen
If personnel is needed, we can be available to help run AV for your event for a fee*

Sound (Sound System in Gym or Sanctuary)Video (Sound System in Gym or Sanctuary)TV CartNone

Select items needed:

Rows	Round Tables	Rectangle Tables	Chairs	Comments
Insert Number

Will you need the church Van (Church Ministry Use Only)?*

YesNo
Please submit a 4-6 digit code to be your access to the building. *
Confirmation Emails will come from Office@cookevillenazarene.org including your code for entrance into the building at the desired time.
By signing below, you have read and submitted all of the information accurately. You are responsible for any items used during your event as well as proper and full clean up and set up for your event. *
Should be Empty: