Facilities Use Request FormPlease complete the form below Name * First Name Last Name Phone * (###) ### #### Email Address * Type of Event * Church Ministry Non-Church Ministry Wedding Other Event Name * A short description of your event. Event Date * MM DD YYYY Reserved Time Start: * Reserved Time End: * Number of People * Furniture Setup? * If you need furniture setup, such as tables in the gym or a center aisle in the auditorium, please specify here and put details in the "additional needs" box below. Yes No Audio/Visual Operation Setup * *MUST CONTACT MICHAEL COSTELLO TO GET ACCESS Yes ($100 fee) No (NOT BEING USED - NO ACCESS TO SOUND SYSTEM) Rooms Requested * Note: You will only have access to the specific areas you request. Gym/FLC Auditorium Classroom(s) Custodian Clean Up? * Yes ($50 fee) No, I'll do it. Recurring Event? If this is a recurring event, please indicate how often, which days, and when it ends. Describe any additional needs: Thank you!