Church Facility Use Request
Submit your request to use Central's facilities for your event or gathering.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Name of Event or Activity
*
Event Type (ex. Birthday Party)
*
Requested Facility/Room
*
Please Select
Sanctuary
Classroom
Gym
Event Date
*
-
Month
-
Day
Year
Date
Event Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Event End Time
*
Hour Minutes
AM
PM
AM/PM Option
Is this event reoccurring?
*
Yes
No
If yes, how often?
*
Expected Number of Attendees
*
Will you require any of the following?
Audio/Visual Equipment
Tables/Chairs Setup
Kitchen Access
Other (please specify)
Additional Comments or Special Requests
Signature
*
Submit Request
Submit Request
Should be Empty: