Event Information:   

    Date of Activity:        Today's Date:

    Activity:

    Event Coordinator:   Phone:

    Anticipated Attendance:    Will childcare be needed?  Yes   No

    Room(s) Desired:

    Activity Begins:        Activity Ends:

    Day & Time the location will be needed to setup:

    Sponsor by (group):

    Ministry Supervisor:

    For events that require childcare, please complete the following:

                        How many children are expected:          

                        Range of ages:

      ***Childcare will be provided through 2^nd grade if gym is available, otherwise 4 years of age.***

Equipment Needed:

    Audio/Visual Needs:     PA System  -  Wireless   or   Wired microphone

                                                     Projector and Screen

                                        Audio Equipment

                                        TV(s)  -  how many: 1 2 3 4 5

                                                      DVD Pl ayer

                                        Other equipment needs:

    Furniture Needs:            Chairs  #   Tables  #

    Transportation Needs:  Bus         Dodge Van         Ford Van

            Driver(s)

***All bus drivers must possess a valid CDL, all drivers must have prior approval from                                                               the insurance company and church office to drive a church vehicle.***

    Food Service Needs:    Will food be served:   Yes     No

            Who will be preparing the food:

            Will the kitchen need to be accessed during this event:  Yes    No

            Who will clean the area after the event:

    Layout Information:  Please tell us how you would like the location setup: