Sager Creek Facility Use Request
Please complete and submit this form to request use of the church facility. Requests will be reviewed for calendar availability. Non-church-ministry related events will require a $25 fee (and possibly additional paperwork).
*Please note: Filling out this form does not guarantee facility use until receiving a phone (or email) confirmation.

If you have any questions about this request form, please contact the church office: (479) 524-3577

Name/description of event
Your answer
Date and time of event
MM
/
DD
/
YYYY
Time
:
End of event
Time
:
Name of main contact
(This person will receive communication from the church office about confirmation and details.)
Your answer
Phone number of main contact
Your answer
Email of main contact
Your answer
Will the "main contact" be present at the event?
Select all needed facilities/rooms
Required
Estimate of total participants
Will there be children under 18 present at the event?
*Please note: A signed waiver may be required by parents depending on the activity/event.
Will this event require a paid technician?
Compensation may be required for a sound, lighting, or computer technician.
Select all multimedia items needed
*Please note: Changes to multimedia item requests require a minimum of 24 hours advanced notice to guarantee availability. [Church office: (479) 524-3577]
Additional items needed
(Example: podium, whiteboard, tables, etc.)
Your answer
Additional notes
(Specific classroom setup, furniture rearrangement, etc.)
Your answer
Please read and "agree" to each of the following items
Required
Submit
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