Building Usage Form

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Fields marked with an * are required

Please submit this form when requesting any event outside of regularly-scheduled activities.

Today's Date *

Event Name

Sponsoring Ministry

Describe Event

About how many attending?

Primary Contact (First & Last Name)

Contact Phone Number

Contact Email Address

Event Dates

Event Days

Event Time

Facility Usage Time

Facility Rooms Needed

Food Services / Kitchen / Supplies

(Please indicate amount on all that apply)

TABLES:

Round #

8' Long #

Chairs #

PAPER GOODS

Large Plates

Small Plates

Bowls

16oz Cups

8oz Cups

Cutlery

Napkins

DRINKS

Coffee (& Supplies) - Yes/No?

Tea - Yes/No?

Other:

Will Church Kitchen be used? Yes/No

Kitchen Contact Name (if different)

Kitchen Contact Phone Number

Will food service be needed/served at this event? How will that be provided?

Media

(Please indicate all that apply)

Microphones (Y/N?)

CD Playback (Y/N?)

Computer (Y/N?) (File Type?)

TV/DVD (Y/N?)

Graphics/Projector (Y/N?)

Building Needs

(Includes set up, tear down, cleaning, keys, alarm & security. Please indicate all that apply.)

Building Needs Contact Name
(Who will be responsible for set-up, tear down, clean up, key/alarm?)

Building Needs Contact Phone

Will Security be needed? (Y/N)

Will on-campus Child Care be needed? (Y/N)

Has Child Care been arranged? (Y/N)

Please provide any other pertinent information here (if needed)