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Event Request Form
Event Request Form
Today's Date
(Required)
MM slash DD slash YYYY
What type of event is being requested?
(Required)
Name of Event Leader
(Required)
Event Leader Email
(Required)
Event Leader Phone #
(Required)
Event Team Members
Event Date(s)
(Required)
Event Times(s)
(Required)
Please factor in time for setup and teardown. All Saturday events must end by 5pm.
Event Description
(Required)
Estimated Number of Participants
(Required)
Will you require technical (Audio, Video, Lighting) support?
Room(s) Requested
(Required)
Room 101 (Youth Auditorium)
Room 102
Worship Center
Café/Lobby
Room 114
Room 115
Room 116
Room 117
Main Street Playground
Childcare Requested? (If yes, please list estimated number of children to be cared for)
Equipment Needed
Round Tables (12)
Rectangle Tables (21)
Conference Tables (10)
Chairs (100)
Café (9 Tables, 32 Chairs)
Other
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