Facility Use Request Form Are you an active member of South River Baptist Church?*Only active member's requests will be considered. Yes No EVENT NAME:* Brief description of nature of event:*DATE OF EVENT:* MM slash DD slash YYYY Recurring Event? Yes If recurring, list other dates needed: EVENT START TIME:* : Hours Minutes AM PM AM/PM EVENT END TIME:* : Hours Minutes AM PM AM/PM NAME OF REQUESTING INDIVIDUAL:* Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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 **** FAMILY LIFE CENTER ($100) KITCHEN ($100) CHOIR ROOM ($50) YOUTH ROOM ($50) PLAYGROUND ($50) CLASSROOMS ($50 each, list rooms needed below) OTHER (Fee will be determined by need, please specify below) SANCTUARY (Special request ONLY - Fee will be based on event type) 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. Bus (Bluebird) Bus (International) Van (White) Van (Maroon) 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 ONLYREQUEST RECEIVED BY:________________________________________________________ DATE RECEIVED:______________________________________ MM slash DD slash YYYY Request checklist CHURCH MINISTRY CALENDAR CONFLICTS FACILITY MAINTENANCE REQUESTED AUDIO/VISUAL TEAM REQUEST KITCHEN REQUEST SPECIAL NEEDS OR RESOURCES ADDRESSED INSTRUCTIONS AND CODES PROVIDED FEES COLLECTED AS RELATED Share this:TweetLike this:Like Loading...