Name *

Phone Number *

Email Address *

Title of Event *

Date of Event *

Is this a recurring event? Example: Every 3rd Wednesday of the month. OR: Weekly on Tuesday

Date of Event Set Up

Time of Event Set Up

End Time of Event Set Up

Time of Actual Event *

End of Actual Event

Number of People *

What Room/Area would you like to use? Select all that apply.
Worship CenterBanquet AreaFellowship HallClassroomPatio

Room Style Set Up
Banquet 8 person roundBanquet 8 person long tableTheater Style: rows of chairs no tablesU-Shape Table with CharisClassroom Style: rows of tables with chairsBoardroom: large table with chairsCircle of Chairs: used mainly for ShowersLeave Room as is, we will arrange

Any specific instructions for the room set up and/or layout?

Kitchen Facility Please select all that apply
Need kitchen to prepare and serve foodI need to call a PIC-Person In ChargeI have a PIC-Person In ChargeNeed Kitchen to organize and serve foodCoffee RoomTable linens needed

Sound & Imagery Needs Please check all that apply
Audio OperatorImagery OperatorWireless Hand Held MicrophoneWireless Over Ear MicrophoneDVD/VHS PlayerMP3/CD/Cassette PlayerLaptop ConnectionThumb Drive ConnectionLCD ProjectorSong Lyrics ProjectedPower Point Presentation

Is this a Church sponsored/directed event?
YesNo

Select Appropriate Fee for Non-Church Event. These fees are intended to cover the cost of set up, cleaning, and reset. If this process takes more than 4 hours there is an additional fee of $25.00 per hour. Please pay the fee to the Church Office before the day of the event.
Small Group for Members/Attenders: $0.00Small Group for Non-Members: $25.00Large Group for Members/Attenders: $100.00Large Group for Non-Members: $200.00

Child Care Offered
YesNo

Person in charge of Child Care

Estimated number of children

Rooms needed for Child Care

Special instructions for Child Care

Prayer plan; how will you be seeking God and honoring His will for this event?

Promotion: How will you be promoting this event?

Do you need the Church Office to help with promoting your event? If yes, how can we help you?