Facility Use Application

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Fill this form out to reserve your spot on the church calendar, get heat/ac, and to get security established.

Event Date (If requesting multiple date, enter start date here) *

YYYY

Additional dates requested (ie: Tuesdays until May 2024, or list actual dates) *

Event Name

Contact Person (First, Last Name) *

Email *

Phone *

Organization Name

Person responsible + Phone Number (if different) who will be on site during event, making sure facility rules are observed

Start Time for Calendar *

Time

End Time for Calendar *

Time

Set-Up Begin Time Needed *

Time

Clean-Up End Time Needed *

Time

Specify What Room Is Requested (ie: Sanctuary, Gym/fellowship hall, Narthex, Courtyard, Classroom, Library, Youth Wing, Lounge, etc): *

If preparing and serving food in our kitchen ( Require use of our kitchen supervisor + Fee)

Fellowship Hall/Gym

Commercial Kitchen (Requires kitchen supervisor, unless Caterer is licensed + Fee)

Other:

Using licensed caterer? (If so, list catering contact name & phone # below)

Kitchen Needed - Start Time

Time

Kitchen Needed - End Time (Including Clean-Up)

Time

For Fellowship Hall/Gym Kitchen, select all that apply

Fridge

Oven

Coffee Maker

Warming Ovens

Dishwasher

Ice Maker

Convection Oven

Stove Top Only

Microwave

Electric Roasters

I have *

Read the facility use policy, and understand that I am responsible for ensuring the rules are followed.

Will submit my proof of insurance prior to my event (if applicable)

Required

Date "Signed" *

YYYY