CLP Facilities Use Request Form

Please fill out this form and click submit. You will be notified within 7-10 days if your request has been approved.
Thank you!

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

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

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

Kitchen Required?

*

Please select one option.

Yes No

Custodian Requested

*

Please select one option.

Yes No

If No Custodian, name of person who will be responsible for opening and securing the building once done

*

Description

Please fill out this form and click submit. You will be notified within 7-10 days if your request has been approved.
Thank you!

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