INSTRUCTIONS: Request(s) for facility use must be submitted to the Church Office no later than two (2) weeks prior to the scheduled event. If your event(s) and/or meeting(s) re-occur annually, your requests are to be submitted to the Church Office at the beginning of each Conference Year. You must have verified approval, in writing, from Mrs. Cheri Smith prior to making any announcements, displaying any advertisements and/or banners or distributing any printed materials regarding your event.

All fliers, programs and printed materials promoting your event must be approved by Pastor Laffoon and/or Mrs. Cheri Smith prior to display and a “REQUEST FOR OFFICE WORK TO BE DONE” form must be completed if the promotional materials are to be done by the Church Office.

Organization/Committee:

Contact Person:

Telephone #:

Email Address:

Event:

Date of Event:

Time of Event:

Special Guest(s)/Speakers:

# of People Expected:

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Space Requested (please check all that apply)

SanctuarySmall Kitchen (off Fellowship Hall)Fellowship HallOld Lounge (Nursery Area)Library

Bishop's Dining RoomClassroom (Room # ____)Parking Lot (car washes, carnivals, etc.)Mini-Chapel

Large Kitchen (off Multi-Purpose Center)Multi-Purpose Center/GymNew Lounge (Near Educational Center)Conference Room

Classroom number if Selected:

Indicate the set-up style you prefer in the appropriate box below the diagram.

TheaterClassroomConferenceBanquet

# of Chairs:

# of Tables:

Microphone:
YesNo

Other:

If this is a recurring event, please list the month, date and year for the entire Conference Year.

Month	Day	Year
---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Publicity:
Church BulletinOrganization Will Handle

** SPECIAL NEEDS REQUIREMENT(S) FOR USE OF FACILITY **

PodiumOver Head ProjectorTable CoveringProjector Screen

Plates (large)BowlsPlates (small)Cups

Eatery (forks, spoon, knives)Sugar/EqualRegular CoffeeCoffee Decaf