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Building Use Form

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 Center
 Banquet Area
 Fellowship Hall
Room Style Set Up
 Banquet 8 person round
 Banquet 8 person long table
 Theater Style: rows of chairs no tables
 U-Shape Table with Charis
 Classroom Style: rows of tables with chairs
 Boardroom: large table with chairs
 Circle of Chairs: used mainly for Showers
 Leave 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 food
 I need to call a PIC-Person In Charge
 I have a PIC-Person In Charge
 Need Kitchen to organize and serve food
 Coffee Room
 Table linens needed
Sound & Imagery Needs Please check all that apply
 Audio Operator
 Imagery Operator
 Wireless Hand Held Microphone
 Wireless Over Ear Microphone
 DVD/VHS Player
 MP3/CD/Cassette Player
 Laptop Connection
 Thumb Drive Connection
 LCD Projector
 Song Lyrics Projected
 Power Point Presentation
Is this a Church sponsored/directed event?
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: $0.00
 Small Group for Non-Members: $25.00
 Large Group for Members/Attenders: $100.00
 Large Group for Non-Members: $200.00
Child Care Offered*
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?