Facility Usage Request Form
First Presbyterian Church of Tecumseh | 211 W. Chicago Blvd., Tecumseh, Michigan 49286 | 517-423-3470 | tecumsehfirstpres@gmail.com
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Name of Event
Type of Group Requesting Event
First Pres Member
Non-Profit
For Profit
Private
Type of Event
Church Event
Meeting
Seminar
Baby/Wedding Shower
Wedding
Dinner/Luncheon
Recital
Community Event
Funeral
Other
Event Date
-
Month
-
Day
Year
Date
Event Start Time (When will you arrive? Please include set-up time.)
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Event End Time (When will are you leaving the building? Please include tear-down time.)
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Number of People Expected
Room(s) Requested
Classroom
Knox Hall
Kitchenette
Nursery
Sanctuary
Gathering Space
Tables Needed
Yes
No
Audio/Visual Needed
Yes
No
Briefly Describe the Event
Submit
Should be Empty: