Davisville Church - Activity/Facilities Use Form

POLICY: YOU MUST BE AN ADULT TO SUBMIT A REQUEST. All areas & equipment used are to be left clean, with everything returned to where it was found, including furniture. Do not leave any food behind. All events/activities are to be completed, including cleanup, by the "end time" you indicate on the request. (All activities must end by 11:00pm). Decorating and setup activities are not to interfere with other scheduled events. All requests are on a first come, first served basis. If there is a conflict, you will be contacted by a church office staff member.

* Required Fields

* First Name

* Last Name

* Phone Number

* Email

* Address

* City

* State

* Zip

* Required Fields

* DATE(s) of EVENT:

* Start Time & End Time (ie 10:00am - 3:00pm): (Note: you will be expected to be cleaned up & out of the building by the end time)

* Name of Ministry/Group:

* Expected Attendance:

* Reason for Use: (also include information you would like made known, i.e.; contact info, cost, etc.)

Area Requested - Church/Educational Building:
Sanctuary
Grace Point
Lounge Area (adjacent to Grace Point)
Connections Cafe (20 seat limit)
Serving Kitchen
Higher Grounds Cafe (30 person limit)
Fireside Room
Gym
Kitchen
Choir Room
Classroom(s)

Specify classroom number(s) requested:

Area Requested - Activity Center:
Gym
Kitchen
Game Room (NOTE: pool table is not to be moved)
Upstairs Meeting Room

Requested Area - Annex
Annex (Counseling Center)

Other - If Offsite, Specify Location:

* Is Set-up Needed? (If yes, an additional fee will apply)
Yes No

Equipment/Furniture needed:
Chairs
Tables
Other
None

Specify quantities needed for items checked in previous question: (i.e.; 10 chairs, 3 tables, etc.)

Technology Requested:
Video Projection
VCR/TV
Sound System
Microphone(s)
Other
None

Specify quantities needed of items checked in previous question: (i.e.; 2 microphones, 1 - VCR/TV, etc.)

* Submission of this request indicates that I have read & agree to comply with the policy as stated at the top of this form and take full responsibility for the requested activity. I affirm that I am 18 years of age or older. (Insert name)