ACTIVITY REQUEST

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Activity Information

Name of Organization(Required)

Date Requested(Required)

Starting Time(Required)

Ending Time(Required)

Number of People(Required)

Type of Event(Required)

Specify Other Type of Event

Space Requested(Required)

Specify Other Space

Title or Theme for this Activity(Required)

Room Setup

This information will assist the church staff in preparing and accommodating this activity. Please complete the items that are applicable to this event.

Room Preparation

Will you need to decorate prior to the event(Required)

Yes

Time you plan to arrive prior to start of event(Required)

Equipment needed (piano, PA system, etc.)(Required)

Note: Any change in or normal room arrangement (i.e. rearranging tables and chairs, movement of furniture) will be done by the church staff. Please attach a diagram/instruction or provide this information to the church office no less than five days prior to your activity.

Attach a diagram/instruction

Max. file size: 64 MB.

If you plan to serve food, please complete the following

Type of food served (if any) (coffee, appetizer, meal)

Dinnerware or supplies needed

Will you need the kitchen to prepare the food?

Yes

Who will be responsible for preparation/cleanup of the serving area?

Note: There is a $25 fee for all organizations / persons using the kitchen for the preparation of food.

Special Request or Instructions

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