Covenant Building Usage Request Form
Book rooms and times and then submit
Email address *
Name of Organization: *
Organization Type: *
This request is for *
Type of request/purpose: *
Date(s) of event: *
If a recurring date, please state the first date, frequency of recurrence and end date, ie: 8/6/2019, first Tuesday each month until 8/5/2020
Start time: *
End time: *
Number of persons anticipated to be present for this event: *
Will participants be charged for this event? *
If yes, what amount?
Requested space (check all that apply): *
Choose an exterior door to open: *
Alternate open/lock times are requested
Exterior doors are programmed to open 1/2 hour before the event and lock 15 minutes after the event. Please let us know below if you have a special request that is different.
Supplies needed: *
Any special notes for room set up?
Contact Person: *
Contact Phone Number: *
Contact Email Address: *
Contact Person Address: *
Person(s) responsible for set-up: *
Note: it is understood that the person in charge will be responsible for 1) set-up, 2) take-down, and 3) clean-up. A $50/hr janitorial fee will be charged if not done.
Person(s) responsible for clean-up *
Please indicate that you have read the requirements for the building usage. *
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