Facility Usage Form

You may complete this form online or print a copy and submit to the church office

Requestor Address Information

Address :
Address Street 2:
City:
State:
Postal Code:

Requestor Information

First Name:
Last Name:
Email Address:
Phone Number:
First Church Member?: Yes   No

Event Information

Group Name:
Event Type: Single Day Event (Month/Day/Year)
Weekly (Day of week, start and end date)
Monthly (Week #, day of week, start and end date)
Event Start Time:
Event End Time:
Event Description:
Event Decorations
(must be pre-approved):
Number of Attendees:
Facilities Required
(check all that apply):		 Kithcen (requires Kitchen Use form and Kitchen Use Guidelines)
Fellowship Hall
Classroom(s)
Other:

* Fees apply to non-ministry groups. See Church office for schedule of fees.