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, Small Group, etc.)*
Date and start/end times for the event; include a comma if more than one date .*
Note: Requests made with under two weeks notice should call the church office first.
Confirmed events will automatically have the space reserved 30 minutes before the scheduled start time. If you need access to the space more than 30 minutes in advance, please indicate the additional time in the following space.
e.g. The event starts at 3pm so the space, including the entrance, will automatically be open at 2:30pm.
Number Expected for Event: *
Cafe
Fireside Room (Classroom by Cafe)
Gym
Chapel
Sanctuary
Room 102
Any Room Available
Yes
No
No, but interested in learning more.
Note any additional dates/times needed for set-up/tear-down.
List of all equipment needs: (i.e. tables, chairs, audio, tv, etc.)
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 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035
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
