Room Change Form

ROOM CHANGE FORM
Date of Request *

Month Day Year
Event Name *
Original Date of Event *

Month Day Year
New Date of Event *

Month Day Year
Cancel Event Instead

yes no
Orig Start Time
New Start Time
Orig End Time
New End Time
Orig Setup Time
New Setup Time
Orig Tear Down Time
New Tear Down Time
Original Room
Change Room to:
Original Room
Change Room to:
Original Room
Change Room to:
Original Room
Change Room to:
Other Space Not Listed:
Person in Charge *
Signature: As the Ministry/Event Leader, I will be responsible to return the room to the default setup before I leave the event. *
(typing your name sufficiently serves as your signature)
Date Signed *

Month Day Year
Signers email *
Inaccurate email will result in you not receiving a confirmation
Should be Empty:

ROOM CHANGE FORM