Facility Request Form

Facility Request Form
Requestor: *

First Name Last Name
Meeting or Event Contact person: *

First Name Last Name
Contact Phone Number: *

Area Code Phone Number
Contact Email *
example@example.com
Group or Organization: *
Purpose of Event: *
Type of Event: *
Number of people: *
Facilities Requested: *
Church, Basement, Meeting Room, Hall, etc.
One-time event date:

Month Day Year
Date Date Picker Icon
Time (from)

: Hour Minutes AM/PM Option
Time (to)

: Hour Minutes AM/PM Option
Recurring Event Start Date:

Month Day Year
Date Date Picker Icon
Time

: Hour Minutes AM/PM Option
Recurring Event End Date:

Month Day Year
Date Date Picker Icon
Time

: Hour Minutes AM/PM Option
Recurring Event Frequency

Weekly Monthly
Set-up
Groups are responsible for set up and tear down of table and chairs. The church will provide the furniture which can be found in the respective rooms.
Table and Chairs

Rectangular table; 8 chairs Round table; 8 chairs Round table; 10 chairs
OR chairs only (submit number of chairs and configuration-- circle, semi-circle, or rows)
Other Needs

Sign-in table by door Microphone Podium
Additional questions or comments?
Enter the message as it's shown *
Should be Empty:

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Set-up