Committee   Date of Request  

Contact Person   Phone

Email

Activity/Event Name

Date(s) of Activity   Start Time   End Time

Location of Activity*   Estimated Number of People*

*Information must be completed if requesting vehicle rental

Vehicle Rental Yes   No   If Yes, Name of Driver

Time/Date leaving Church  Time/Date Returning to Church

Phone Tree Reminder? No  Yes

Request for use of equipment (check all that apply)

**Equipment must be picked up from the Administrator prior to the event.  Electronic equipment will not be left in the room/location of activity.

Kitchen Supply Needs for Event

Supplies for     0 1-25 26-50 51-75 76-100 100 +

Coffee     v      Cups:    Hot         Cold         Plates         Napkins         Bowls        Utensils (forks, knives, spoons)      Lemonade        Tea       

Butter        Salad Dressing        Condiments (ketchup/mustard)       

Special instructions:

***Please note: Do not assume that your activity has been put on the Church Calendar until you receive confirmation from the Church Administrator.