Request for Use of Church Facilities

FPC-facilities-request-policy.pdf

Name of Group / Individual

Purpose of Use

Event Start Date

Does this Event Occur...

Once

Weekly

Monthly

Other

If Reoccurring - End Date

Time Requested (Please include START and END time of room use, and indicate AM/PM)

Event Start Time (for use in calendaring and promoting - what time does the EVENT start?)

Please advertise my event in the church calendar / publications (Messenger, website, bulletin insert)

Yes

No

Number Attending

Number of Tables Needed

Number of Chairs Needed

Any Additional Needs / Services

Your Name

Phone Number

Email

I/We agree to abide by the Building Use Policy (see attached document at the top of the page)

Yes

No

Signature

Please note, a room will be assigned to your group based on your event requirements. Requesting a specific room does not guarantee you will be in that space. Thank you.

For Office Use: Response Sent

Yes

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