Your name*
Home Phone*
Alternate Phone
Are you a member of this church?*
Yes No
What is the name of the event that you want to hold at the church?*
Explain the purpose of the event*
Who will be attending?*
How many people will be attending?
What room(s) are you requesting?
Proposed Event Date*
Proposed Event Time*
Start Time | End Time
Will security be required?
Yes No
Will ushers be required?
Yes No
Will audio engineers be required?
Yes No
Will greeters be required?
Yes No
Will tables be required?
Yes No
how many?
Is there anything else you are requesting for your event?
Security Code*
* Required Information