First and Last Name of person responsible (This person must be present for the duration of the event.)*
Phone Number*( ) -
Email*
Type of Event (i.e. Graduation Party, Wedding, etc.)*
Description of Function (i.e. Luncheon, Ministry Meeting, etc.)*
Number Expected for Event: *
Cafe
Fireside Room (Classroom by Cafe)
Gym
Chapel
Sanctuary
Any Room Available
Date and all start/end times for the event and include a comma if more than one date **(Please note: requests should be made well in advance, if under two weeks notice please call the office after submitting your request).*
Yes
No
No, But Interested in Learning More About Membership
Please note any additional dates/times needed for set-up/tear-down.
Audio/Computer/Lighting Needs:
List of all other equipment needs: (i.e. tables, chairs)
Please list any room preference for the event (i.e. Fireside Room).
First and Last Name(s) *
Email Address *
Phone( ) -
Event
Ministry Need
Other
Publicity Description
Event Location/Room # (if applicable)
Event Date (if applicable) January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2025 2024 2023 2022 2021
Event Start and End Time
Cost for event (if applicable)
Please submit any graphics or other documents that would be helpful.
Please list the first and last name(s) of all individuals whose contact info needs updated.*
Address Update
Phone Number Update
Email Address Update
Last Name Update
Birth or Death Notice
Old Info Needing Updated:*
New Info:*
First and Last Name of Person Needing Prayer*
Specific Prayer Request
Praise Report
Your First and Last Name*
Email/Phone Number
No, This Request Is Confidential
