Meeting or Event Name: *

Ministry Name: *

Approved by Chairperson
YesNo

Date of Event/Meeting

Start Time Of Event

End of Time Event

Number in Attendance

Will food be available?
YesNo

Is room setup assistance required?
YesNo

If "Yes," please describe.

Time for Room Setup

Churchwide event?
YesNo

Public event?
YesNo

A / V projector and screen needed?
YesNo

Kitchen access needed?
YesNo

Computer lab needed?
YesNo

Contact Person Name

Phone Number

Email Address

Room Request Submitted By:

Comments