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 (may require use of our kitchen supervisor)

Fellowship Hall/Gym Kitchen Needed

Youth Wing Kitchen Needed

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

Supplies Needed

China and Silverware

If ministry event, we will contact kitchen staff about disposable utensils and plates

I have *

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

Read the facility use fee sheet, and understand fees must be paid at least 2 weeks in advance of my event (if applicable)

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

Required

Date "Signed" *

YYYY