Facilities Usage Request

ORGANIZER DETAILS

Event Name REQUIRED Please fill out this field. Please enter valid data.

Contact Person REQUIRED Please fill out this field. Please enter valid data.

Group Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Will food be served? REQUIRED Yes No Please fill out this field.

If "Yes," who will be the Trained Kitchen Supervisor Please enter valid data.

Will alcohol be served? (Please note that a liquor license must be applied for at least 6 weeks in advance) REQUIRED Yes No Please fill out this field.

Start Date REQUIRED Please fill out this field. Please enter a date.

End Date REQUIRED Please fill out this field. Please enter a date.

Start Time REQUIRED Please fill out this field. Please enter valid data.

End Time REQUIRED Please fill out this field. Please enter valid data.

REPETITION SCHEDULE

Repetition

If Daily, what exceptions are there (if any)? Please enter valid data.

If Weekly, repeat every how many week(s)? Please enter valid data.

If Weekly, which day(s)? Please enter valid data.

If Monthly, repeat every how many months? Please enter valid data.

If monthly, which day of the month and/or week? Please enter valid data.

SETUP DETAILS

Set-Up Date REQUIRED Please fill out this field. Please enter a date.

Set-Up Time Please enter valid data.

Clean-Up Date REQUIRED Please fill out this field. Please enter a date.

Clean-Up Time Please enter valid data.

Facility (Room) 1st Choice REQUIRED Please fill out this field. Please enter valid data.

Facility (Room) 2nd Choice Please enter valid data.

Do you need the maintenance staff to set up for you? Yes No

Set-Up Instructions

If you have attachments, email them to [email protected]

PROMOTIONAL DETAILS (Subject to Availablity)

Contact Person / Contact Info Please enter valid data.

Formats Bulletin Bulletin Insert Pulpit E-Newsletter Church Sign Social Media / Facebook