Facility Use Request Form - South River Baptist Church

Are you an active member of South River Baptist Church?*

Only active member's requests will be considered.

EVENT NAME:*

Brief description of nature of event:*

DATE OF EVENT:*

Recurring Event?

If recurring, list other dates needed:

EVENT START TIME:*

:

EVENT END TIME:*

:

NAME OF REQUESTING INDIVIDUAL:*

Address:*

Street Address Address Line 2 City State ZIP Code

Phone:*

Email:*

APPROXIMATE NUMBER OF PEOPLE:*

FACILITY REQUESTED (Check all that apply):

**** Cleaning fee is listed and only applies to non-ministry events ****

If classrooms needed, specify room(s) numbers:

If OTHER, specify facility needed:

VEHICLE REQUESTED:

You are responsible for fiinding and paying for an approved, qualified bus driver as well as filling up the vehicle prior to returning.

RESOURCES REQUESTED (Check all that apply)

Setup & Teardown (note how many tables & chairs are required below)
Audio/Visual Equipment (note what equipment is required below)
Soundboard Technician ($25 per hour of event)
Kitchen (must check in with kitchen manager two days prior to event for training on proper use of kitchen equipment)
Other (note additional needs below)

If resources are requested, please clarify needs here:

Please note details like: number of tables & chairs, equipment needed, why you requesed sound technician or any additional needs

FOR OFFICE USE ONLY

REQUEST RECEIVED BY:________________________________________________________

DATE RECEIVED:______________________________________

Request checklist