Name of Group/Individual:

Purpose of Use:

Event Start Date

Does this Event Occur?
Once Weekly Monthly Other

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 church publications (messenger, website, bulletin insert).
Yes No

Number Attending

Rooms Requested
Off-site Sanctuary Gathering Space Jennie Roberts Room Jennie Roberts Kitchen Nursery Complex Jr. High Youth Rm Sr. High Youth Rm Office Conference Rm (holds 8 ppl) Meeting Room #1 (holds 10 ppl) Meeting Rooms #2/3 (holds 14/10 ppl) Board Room (holds 18 ppl) Social Hall Social Hall Dining Social Hall Kitchen Salad Kitchen Library Choir Room Upstairs Classroom #1 Upstairs Classroom #2 Upstairs Classroom #3 Upstairs Classroom #4-5 Upstairs Classroom #6

Your Name

Phone Number

I/we agree to abide by the Building Use Policy (see link in dark bar below)
Yes No