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

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