Facilities Request

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**NOTE - This form is for communication purposes. Please make sure that you confirm your needs with the church office and/or the appropriate personnel. This form is sent to the pastors, the elders, the administration team and support staff.

Contact Information

Name:            Organization:

Phone Number:          E-mail:    
xxx-xxx-xxxx

Which room(s) would you like to request?
Sanctuary     Youth Room     Upstairs Class Room(s) South Office Classroom

Downstairs Class Room(s)     Nursery     Foyer

Chairs     Number of Chairs:  

Tables    Number of Tables:  

What date is the event?
Enter Date:

What time do you need the facility?
Enter Times:

Extras:

Select all that apply
I will need the use of the sound equipment / Sound personnel.
I will need the use the piano or other instruments.
I will need use of the kitchen.
I will need help with the stove's pilot light.

Please briefly describe the event and any other useful information for consideration.