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 calendar/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 below page title)
Yes
No