FACILITY USE/CALENDAR REQUEST FORM

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Name of individual/group requesting date:* This field is required.
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Phone #* This field is required.
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Email* This field is required.
example@example.com
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Calendar Date Requested* This field is required.
Date
Month
Day
Year
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Time* This field is required.
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Hour
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Minutes
AM
AM
PM
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If recurring Start date
Date
Month
Day
Year
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If recurring End date
Date
Month
Day
Year
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Type of program* This field is required.
9
I have access to the building:
Please Select
Please Select
Yes
No
10
Facility/services needed (please list all rooms/services you are requesting):* This field is required.
Please Select
Sanctuary Classrooms
Fellowship Hall
Small Kitchen
Choir Room
Parking lot
Van
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Estimated number of people involved
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Estimated Funding Requested:
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Signature of Responsible Party* This field is required.
Clear
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Date
Date
Month
Day
Year
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For office use only: Approved by:
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Approved by
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Date
Date
Month
Day
Year
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Approved by
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Date
Date
Month
Day
Year
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The person/group requesting the use of Church facilities hereby absolves the church, its pastor, leadership, members, or people of any liability for personal injury to any individual resulting from the use of the church facilities and agrees to be responsible for any property damage that results during the use of the facilities. Please report any damage to the church office promptly. The group or individual using the facility is responsible for set up, clean up, and return to normal set up of the facility unless otherwise agreed upon.
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Signature of Responsible Party* This field is required.
Clear
22
Date
Date
Month
Day
Year
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Please attach additional pages with supporting documentation.
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File Upload
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