Your Name

    Your Email

    Your Number

    Name of Event

    Date of Event (use pull down at the far right to select the date)

    Start Time:

    End Time:

    Location of Event
    Please check all that apply.
    CommonsChristian Life Center (Gym)KitchenSanctuaryLibraryPavilionFieldSunday School Room(s)Youth RoomChildren's Room

    Number of Participants

    Kitchen Usage
    Please check all that apply.
    Ice MachineRefrigerator/FreezerCounter SpaceMeal Prep/CookDishes/UtensilsDishwasherNone

    Equipment Needed
    Please check all that apply.
    TablesChairsLecturnSoundMicrophoneTVDVDProjectorScreenNone

    Sound Tech Needed
    YesNo

    Church Bus Needed
    YesNo

    Please submit a Bus/Van Request along with this event

    Childcare Needed
    YesNo

    Notification for childcare should be given at least two weeks in advance

    Number of Children

    Additional Information
    If you need extra time before or after this event, please list those details in this area along with any other details.