Event Registration

Event Name *
Day of the Week *
Date of Event and Start Time *

MM
/
DD
/
YYYY

HH
:
MM

AM/PM
Event End Date and Time *

MM
/
DD
/
YYYY

HH
:
MM

AM/PM
Early Setup Time and Date
(If Needed)

MM
/
DD
/
YYYY

HH
:
MM

AM/PM
Number of People Attending *
Facility Requested
 Entire Facility (approval required) 
 Sanctuary 
 Gym 
 Kitchen 
 Fireside Room 
 FLC-2 
 Choir Room 
 Orchestra Room 
 Conference Room 
 Room 5 
 Nursery (approval required) 
 Kids' Clubhouse 
 Other (specify in the equipment/set-up field) 
Transportation Requested
 Mini Bus (up to 14 passengers) 
 Bus (15 to 25 passengers) 
Destination
Driver
Equipment/ Set-up Needed
Person Making Request *
Responsible Person in Charge *
Must be present at event!
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