Room Request

Event Name*

Group Name*

Begin Date*

End Date*

Room Preference*

Begin Time*

: HH

MM

End Time*

: HH

MM

Event times to advertise (If different than above)

Approximate Group Size*

Does this event repeat?*

Yes
No

When?

What Day?

What Week?

What days of the week?

What weeks?

First
Second
Third
Fourth

Dates Group Won't Be Meeting

Contact Name*

Phone*

Email*

Staff Liaison*

Commission or Committee*

If needed, who in your group will be responsible for locking up and arming the alarm?*

Will child care be needed for this event?*

Yes
No

Please note: A Child Care Request Form will need to be completed. Requests are subject to approval by Child Care Coordinator. Please note that pre-registration is required no later than 48 hours prior to your event in order for staff to make the appropriate accommodations to ensure a safe and nurturng child care environment. A minimum of 4 children per overall program or event is required in order for child care to be provided.

Will A/V, sound or tech support or equipment be needed?*

Yes
No

All requests subject to approval of A/V Tech Coordinator

Will food be served at this event?*

Yes
No

Is food service support needed?*

Yes
No

Food service is subject to approval by our Fellowship Team.

Is custodial support needed?*

Yes
No

Custodial support subject to approval by our facility manager.

Any questions, needs or other information related to your event we should know?

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