Church Office Use Only
Date Approved: _____________________ Initials: _________
On Calendar: _____________________ Initials: _________
Key #:__________________ Date Returned: _________________
Facilities/Resource Request Form
Facilities Needed: Ministry: _________
Event Date: ___________________ Start to End time: _____
Event Name:_____
Requested by:_____
Church Member yes
Staff person responsible:
Room/Location needed to reserve: ___ ____________________
____________________
Sunday Bulletin Dates to be published: ____________________
Wednesday Prayer Lines: Dates to be published: _______________
Monday Standard Dates to be published:__________________
Sunday Announcements: Dates to be announced:_____________
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Resources Requestedreturn all items after event
Projector Tables (Round) How many?
Sound System (Worship Center - technician required) Tables (Long) How many?
Sound System (Family Life Center - technician required) _ Tablecloths (Long) How many?
Projection Screen (Portable) Chairs How many? _
TV/DVD Other
Die Cut Machine Copier
Kitchen use: _Yes _No
For what event?_____ Date: _Time:_
Preparation only (Meal being brought in) _ Full Meal Cooking Needed (Meal prepared in Kitchen)
Utensils needed: Quantity of each _Forks _Knives _Spoons _Plates _Napkins
Who is responsible for cleanup? Names and phone #:___
Kitchen Rules: 1) Please leave everything as you found it; 2) If you bring anything in, please take them with you as you go; 3) Any used linens or towels are to be washed and returned as soon as possible; 4) Please let the office staff know if you used something and if you used something not planned on so that it can be replaced. ~ ~ ~Thank you!
*Upon availability & approval
Childcare Request: (For ages birth to Pre-K) Yes _ No _ Age(s) How many children?__
Date(s) needed: ______
For what event: _______
Print Name:_____________Date:_______
