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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)
Name of Event Team Members
Event Leader Email
(Required)
Event Leader Phone #
(Required)
Event Date(s)
(Required)
Event Times(s)
(Required)
Please factor in time for setup and teardown. All Saturday events must end by 4:00 pm.
Event Description
(Required)
Estimated Number of Participants
(Required)
Will you require in-person technical (Audio, Video, Lighting) support?
(Required)
Room(s) Requested
(Required)
Room 114
Room 115
Room 116
Room 117
Café (table seating for 32)
Lobby
Indoor Playground
Outdoor Fields
Outdoor Patio
Worship Center
Youth Auditorium
Childcare Needed?
(Required)
Yes
No
If Yes, please list the estimated number of children below.
Estimated number of children needing childcare
Equipment Needed
(Required)
White Folding Chairs
White Round Tables (can seat 8)
White Rectangular Tables (can seat 8)
Brown Folding Chairs
Tan Rectangular Table (can seat 8)
Kitchen
Podium
TV Cart
Projector
Portable Projector Screen
Portable Sound System
Power Strip
Clean Towel(s)
Large Whiteboard
How many white folding chairs are needed? (100 available)
(Required)
How many white round tables are needed? (12 available)
(Required)
How many white rectangular tables are needed? (21 available)
(Required)
How many brown folding chairs are needed? (44 available)
(Required)
How many tan rectangular tables are needed? (12 available)
(Required)
Do you (or does someone in your party) have keys to access the facility?
(Required)
Yes
No
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