Building Use Form

Phone Number*
email address
Title of Event*
Date of Event*
Is this a recurring event? Please tell us how the event will repeat. i.e. "Third Saturday of every month"
Date for Event Set Up
Time of Event Set Up*
End Time of Event Set Up*
Time of Event
End Time of Event
Number of People*
Who will be unlocking the building for your event?*
Who will be locking the building for your event?*
What Room/Area do you wish to use? Please check all that apply*
 Banquet Room
 Fellowship Hall
 Worship Center
 Outdoor Patio
Room Style Set Up
Use this space to better describe your event
Kitchen Facility
Please check all that apply
 Need kitchen to prepare and serve food
 I need to call a PIC-Person in Charge-for kitchen
 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
 CD/Cassette/MP3 Play
 Laptop Connection
 Thumb Drive Connection
 LCD Projector
 Song Lyrics Projected
 Power Point Presentation
Is this 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 fee to Church Office before the day of the event.
 Classroom/Small Group for Member: $0.00
 Classroom/Small Group for Non-Member: $25.00
 Large Space/Large Group for Member: $100.00
 Large Space/Large Group for Non-Member: $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 to honor 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?