Building/Sound/Announcement Request
The purpose of this form is to request a room, announcement, or sound and projection for use at The Potter's House Family Worship Center (PHFWC). Every effort will be made to accommodate your request, but the request may not be confirmed if there are scheduled events that conflict or if this request form is not turned in at least 2 weeks in advance of the event date. The Potter's House Family Worship Center reserves the right to deny any request. ANNOUNCEMENTS: Any requests submitted after the due date will be accepted only at the Office Staff's discretion. All requests may not be approved depending on content and/or other restrictions. Generally, we gear announcements, PowerPoint presentations and Website Postings to advertise upcoming events that encourage congregational or major ministry participation. Also, please note that PowerPoints and Website Postings by necessity must have limited text. So please summarize your event so that it can be read in the short period of time that it's projected on the screen. If you have any questions or concerns, please contact the Church Office: 989-772-5681 or email: office@pottershousefwc.org. SOUND AND MEDIA: Requests for sound and media use requires a PHFWC sound technician that has been confirmed through the sound/visual ministry leader.
Date
Name of Event
Area of Ministry
Contact Name
Contact Email
Contact Phone Number
Event Set Up Date
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Event Set Up Time
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AM/PM Option
Event Start Date
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Event Start Time
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AM/PM Option
Event Clean Up Date
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Date
Event Clean Up Time
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Minutes
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PM
AM/PM Option
Estimate number of attendees
Point person for clean up
Point Person Phone Number
Is this a recurring event
Yes
If yes, weekly
If yes, monthly
No
Please fill out appropriate sections below
Room Request
(please check all that apply)
Rooms 5-10 are only available for Children and Youth Events
Sanctuary (Please fill out the sound/projection section)
Room 1 (media room)
Room 2 (prayer room)
Room 3 (large room by cafe)
Room 4 (large multipurpose room)
Room 5 (nursery)
Room 6 (toddler room)
Room 7 (youth room)
Room 8 (children's classroom)
Room 9 (children's classroom)
Room 10 (children's classroom)
Library
Cafe Kitchen (will require a specialized list of clean up instructions)
Will you need Tables?
Yes
No
How many tables will you need?
Will you need chairs?
Yes
No
How many chairs will you need?
Sound/Projection Request
(Please check all that apply)
Please describe the sound/projection needs for your event
Microphones needed
Rows
1
2
3
Wireless Headset (3 max)
Hand held (2 max)
Wired Microphone(s)
Please list specific instruments below
Soundtracks - Please list title and if it will be cassette, CD, or youtube (inlcude URL)
Projection Information (all media must be turned in to the office at least 48 hours in advance of event)
PP Slides
YouTube Video
CD
Other
Does platform need to be cleared? (Additonal fee required for all events)
Yes
No
Fee required for event.
Yes
No
Fees for events
Sanctuary Projector - $15 per hour
Sanctuary Sound System - $15 per hour
Platform cleared and reset - $100 flat fee
Wedding Rehearsal/Wedding - Flat fee (as listed in wedding forms
Advertising Request
I am requesting: (please check all that apply)
Website
PowerPoint
Newsletter
Social Media
Announcement
Event Description
Advertising start date
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Month
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Day
Year
Date
Advertsing end date
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Month
-
Day
Year
Date
Will you need a special events table?
Yes
No
Will you be collecting money? (If yes, you will need a Bank bag and event tally sheet from the office)
Yes
No
Please list name of person responsible for running the event table and collecting money
First Name
Last Name
Submit Form
Print Form
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