Use of Facilities Request Form
Date of Request mm/dd/yyyy
Person Making Request
Coordination/Contact Person
Phone Number
E-Mail
Sponsoring Group
FBC
TCA
OTHER
Event Title
FBC Rooms
FBC Santuary
Kitchen
119 Prayer
118 Meeting
103 Missions
104 Admin
200 Library
201 Choir
215 Youth
TCA Rooms
114 All Purpose Room
Room 106
Room 107
Room 108
Room 109
Room 110
213 Library
Room 205
Room 206
Room 207
Room 208
Room 209
Room 210A
Room 210B
Event Date mm/dd/yyyy
Repeated Dates (Weekly Until) mm/dd/yyyy
Repeated Dates (Monthly Until)mm/dd/yyyy
Start Time HH:MM AM or PM
End Time HH:MM AM or PM
Number of people attending
Other related dates and times
Access and Cleanup time requirements
Advanced tickets or reservations needed?
Yes
No
For Information See?
# of chairs
# of tables/sitting
# tables/serving
Tables covered?
Yes
No
Lectern needed?
Yes
No
Room setup assistance needed?
Yes
No
Room Layout Details(diagram preferred)
Check all FLC multimedia needs
Microphone corded
Microphone wireless
Background music(user provided)
Computer projected(provide CD)
Stage Room lighting control
Assistance required
Check all room multimedia needs
DVD Player and Monitor
VCR Player and Monitor
Overhead Projector
Projector Screen
Computer projector w/cables
Assistance required