FACILITIES REQUEST FORM Name * First Name Last Name Email * Phone * (###) ### #### Event Name * Expected number of people attending event? * Date of Event * MM DD YYYY End Date If recurring, what DATE will the event end? MM DD YYYY Is this a weekly event? * Yes No If yes, what day of the week? Is this a monthly event? * Yes No If yes, please describe. What time will the event begin? * Hour Minute Second AM PM What time will the event end? * Hour Minute Second AM PM What Room(s) are you requesting? * Please check all that apply Main Auditorium Atrium Adult Classrooms (please specify below) Children's Classrooms (please specify below) FirstKidz Auditorium 1 FirstKidz Auditorium 2 FirstKidz Auditorium 3 Youth House Middle School Building The Porch Office Conference Room Church Grounds in general (please describe below) FK Yard Area Conference Room 303 If specifics needed from above, please describe below. Is this event a fundraiser? Yes No If this event is a fundraiser, do you intend to receive a love offering? Yes No Will food be served? * Yes No If yes, please list caterer. Quantity of ROUND tables (Seats 8 max) * Enter a NUMBER Quantity of RECTANGULAR tables (Seats 8 max) * Enter a NUMBER. Quantity of CHAIRS (300 available) * Enter a NUMBER Please describe how you want the tables and chairs arranged, if requesting. Do you need tablecloths? (White Only) Yes No Does your event require CHILDCARE? * Yes No Approximately how many children do you expect? Age ranges of children expected? Time Childcare Workers would need to be present at BEGINNING of event? Hour Minute Second AM PM Time Childcare Workers would be expected to be released at END of event? Hour Minute Second AM PM Will your event require AUDIO/VISUAL Support? * Yes No If yes, please describe your audio/visual needs. I.e., Will you need the sound system operated, will you need slides or videos shown, etc. Will you need the PORTABLE SOUND SYSTEM? Yes No Do you need the PORTABLE PIANO? Yes No Do you need LIGHTING support? * Yes No Will your event require TRANSPORTATION? * Yes No If yes, please list destination. Which buses will you need? Select all that apply. Large Bus Small Bus Have you coordinated with a church-appointed Driver? Yes No If yes, which driver have you coordinated with? Thank you. You should receive a response within 48 hours, but if you don't, please contact Connie Partington at 770-887-2428.