Facility Request Form - Jubilee Church

General Details

Event Name*

Requested by:*

Requested Date(s)

From Date*

To Date*

Alternate Date(s)

From Date

To Date

Event Time & Location

Event Start Time*

:

Event End Time*

:

Reserve/Setup Time

:

Cleanup/Final Checkout Time

:

Room(s) Requested*

Other Location(s)

Offsite Location

Yes
No

Is this event offsite?

Address

Street Address Address Line 2 City State ZIP Code

Phone

Transportation

Specific Details

Room Arrangement:

Comments:

Number Expected

Kitchen Access Needed*

Yes
No

Nursery?*

Yes
No

Sound Technician?*

Yes
No

Key Required?*

Yes
No

Additional Information

*Please Note: Indicating "Yes" for any of these fields does not mean that Jubilee Church will provide staffing for these areas, nor does it mean that any current staff or volunteers will be available to help you. You will be responsible for contacting the necessary personnel and making sure these areas are staffed.

Number of Chairs:

Chair Type

Number of Tables

Table Type

Special Equipment

Event Fee

Bulletin?

Yes
No

Bulletin Title

Monthly Calendar

Yes
No

Contact Information

Principal Contact*

First Last

Phone

Day Phone

Night Phone

Group

Leader

First Last

Staff

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