Facility Usage Request Form

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Captcha ^✻ What is 3 + 8?

Contact Name: ^✻

E-mail ^✻

Phone Number: ^✻

Ministry Name: ^✻

EVENT DETAILS

Name of the Event ^✻

Date of Event ^✻

Month

Day

Year

Start Time of Event

Hour

Minute

End Time of Event

Hour

Minute

Do you need to request online registration? ^✻

Yes

Number of Weeks Duration ^✻

Final Session Date

Month

Day

Year

Estimated Group Size ^✻

Is Childcare Provided? ^✻

Yes

Room Requested - 1st Preference

Room Requested - 2nd Preference

Do you want online registration? ^✻

Yes

ONLINE REGISTRATION - HOW TO JOIN THE GROUP OR EVENT

Group Options (multi-session group events set up for on-line attendance)

Do you want members to add themselves to your group online?

Do you want them to contact you before joining your group?

Room Reservation Comments (Optional)