Facility Use Form
Facility Use Form

* First Name:
* Last Name:
* Phone:
* Email:
Ministry:
* Please select the following areas that need to be reserved.
Chapel/Banquet Facility
Foyer/Welcome Center
Room 113 A & B / Nurserys
Room 115 / Lounge
Room 116 / Ministry Resource Room
Room 124 A & B / Embassy Room
Room 118 / Small Conference Room
Room 127B / The Warehouse
Room 136 A & B / Embassy Cafe
Facility Grounds / Parking Lot
* The following room(s) will be used for the purpose of:
Please select one of the following:
One Time Use
Continuous Use
Room Set-Up
Classroom/Lecture
Theatre
Round Tables w/Chairs
Small Gray w/Chairs
Long Brown w/Chairs
Musican Support
Keyboardist
Organist
Drummer
Guitar
Musical Instrument Usage
Keyboard
Organ
Drums
Congas
Multi-Media
Sound System
Microphones
CD Player
TV/VCR/DVD
Projector Screens
Addintional Needs :
* Please name the Ministry Representative, that agrees to be in attendance for the entire time of the function and will take full responsibility for the care of the inside as well as the outside of the premises during and after the event. (Please include an emergency contact number along with email address)

* Indicates required entry field