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Church Facilities Request Form
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* Indicates required question
Person Requesting:
*
Your answer
Date of Event
*
MM
/
DD
/
YYYY
Time:
Time
:
AM
PM
Name of Event
*
Your answer
Location of Event in Church
*
Check all that apply
Gym
Sanctuary
Kitchen
Room 1
Room 2
Hospitality Room
Upper Room
Nursery
Lower Level 1
Lower Level 2
Lower Level 3
Lower Level 4
Lower Level 5
Lower Level 6
Lower Level 8
Other:
Required
How Many Expected
*
Your answer
Person Responsible for the event
*
Your answer
Person Responsible for set up & take down:
*
Your answer
Are you a member of Cornerstone Evangelical Free Church?
*
Yes
No
Phone 1
*
Your answer
Phone 2
Your answer
Full Name
*
Consider this your signature.
Your answer
**Office Use Only**
____ Church Secretary ___ Senior Pastor ___Pastor of Family Min ___Elder Chairman ___Deacon Chairman
Your answer
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