FACILITIES REQUEST FORM: Please submit 30 days in advance, with the exception of funerals. Please give us 5-10 days to respond. Businesses are required to provide liability insurance.
Please fill out this form and click submit.
Name of Organization
Contact Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Event Type
*
Date of Event
*
Event Start Time
*
Event End Time
*
Person in charge of clean up
*
Contact Number
*
Email
*
Number of people expected
*
Rooms Requested (check all that apply)
*
Please select all that apply.
Sanctuary
Family Room
Lobby
Children's Ministry Big Room
Nursery
Toddler Room
Preschool Room
1st-3rd classroom
4th-6th classroom
Youth Room
Other
Equipment Needed
*
Please select all that apply.
Microphone
Video
Round Tables
Rectangular Tables
Other
If you are a business, will your insurance company provided a Certificate of Insurance and an additional insured encorsement? (2 separate forms)
*
Please select one option.
Yes
No
Other Info:
Submit
Description
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