CHRIST CHURCH Building Use

CHRIST CHURCH, EXETER NH : Facilities Use Application
Today's Date

MonthDayYear
GENERAL CONTACT INFORMATION
1. Name & Description of Organization*
2. Person responsible for, representing, or sponsoring the organization:*

First NameLast Name
Daytime phone*

Area CodePhone Number
Daytime e-mail*
3. Applicant:*

First NameLast Name
Address*
Street, Town, Zip
Phone*

Area CodePhone Number
E-mail*
EVENT INFORMATION
4. Event / purpose for which facilities are requested*
5. Room(s) being requested:*

SanctuaryNarthex (entrance hall)ChapelParish Hall Connector HallwayExterior Courtyard (with altar and cross)Parish HallDodd RoomKitchenDownstairs ClassroomsCommunity Room (Room 17)
6. Date requested:*

MonthDayYear
Additional dates requested (if any):
7. Time required: We will need access to the space from*
HH:MM AM/PM
to*
HH:MM AM/PM
The actual event is scheduled to begin at*
HH:MM AM/PM
and end at*
HH:MM AM/PM
8. Will there be an admission or suggested donation?*

YesNo
What is the ticket price or suggested donation?
9. If you are raising money for a charitable cause, what organization(s) will benefit?
10. Number of persons expected to attend:*
EQUIPMENT REQUESTED
11. We will need use of the following. The main person responsible for using this equipment is listed below items checked.
Audio/Visual

Audio EquipmentLive Streaming camera system
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
Piano

Piano (in the church)
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
Organ

Organ
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
12. Will you need furniture in the church moved for your event?*

YesNo
Please specify what needs to be moved. (Refer to section A9)
13. List any flammables to be used:
Today's date*

MonthDayYear
SIGNATURE*

First NameLast Name
After hitting 'SUBMIT FORM' you should be taken to a "thank you for your submission" page. You should hear from a representative of the church within a few days.
Should be Empty:

CHRIST CHURCH, EXETER NH : Facilities Use Application

GENERAL CONTACT INFORMATION

EVENT INFORMATION

EQUIPMENT REQUESTED