CLP Facilities Use Request Form
Please fill out this form and click submit.
Contact Information
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Ministry/Organization
*
Event Information
Purpose
*
Date Requested
*
Recurring Event?
*
Please select one option.
Yes
No
Select Option
Yes
No
If recurring, what days and times?
Start Time of Event
*
End Time of Event
*
Total Hours (Including Setup and Cleanup)
*
Setup Requested?
*
Please select one option.
Yes
No
Select Option
Yes
No
Provide a brief description of the CLP event for the bulletin & eNews (may be edited by staff)
*
Does your CLP event require a sign up?
*
Please select all that apply.
Paper
Digital
None
Do you need a graphic for the CLP Sunday morning scrolling announcements (verbal announcements are limited)?
*
Please select all that apply.
Yes
No
Is there anything else we need to to know about this event?
Facility Information
Space Requested (check all that apply)
*
Please select all that apply.
Sanctuary
Souers Community Hall
Souers Community Kitchen
Fireside North
Fireside South
Zieske Hall
Watt House/Courtyard
Classroom(s)
Choir Room
Palm CourtParking Lot
NO ROOM REQUIRED
OTHER (explain in details section)
Setup Details (Draw on blank paper and bring to the office if needed):
*
Sound/Video Requested?
*
Please select one option.
Yes
No
Select Option
Yes
No
Kitchen Required?
*
Please select one option.
Yes
No
Select Option
Yes
No
Custodian Requested
*
Please select one option.
Yes
No
Select Option
Yes
No
If No Custodian, name of person who will be responsible for opening and securing the building once done
*
Submit
Description
Please fill out this form and click submit.
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