Building Use Form

View a map of the church building with room numbers.

Note: A red asterisk indicates a required entry.

Date and time of reservation

* Date(s) of event:

* Start time of event:

* End time of event:

Optional set-up/cleanup time

Reserve room(s) from:

Reserve room(s) until:

Description

* Name of organization, group, or committee:

* Type of event (Examples: Wedding, Funeral, Reception, Meeting):

Facilities requested

* Please check which room(s) or structure are needed:

(1 required)

Sanctuary	Fellowship Hall	Kitchen	Study
Room 6	Room 7 (Russell)	Room 8	Room 9/10
Room 11/13	Room 12/16 (Youth)	Room 14 (Library)	Room 17
Pavilion

* Please set up chairs for me:

(1 required)

Yes

* Number of chairs needed:
(Type 0 if none are needed)

* Number of tables needed:
(Type 0 if none are needed)

Please set up chairs/tables in the following rooms or structure:

	Fellowship Hall
	Room 8
	Room 12/16 (Youth)
	Pavilion

Please set up chairs/tables by (date):

Please set up chairs/tables by (time):

I understand I am responsible for cleanup, including putting away chairs, tables, and toys, and sweeping floors, if necessary. If this meeting or event is the last to adjourn in the evening, I will make certain that lights are turned off in the building and exterior doors are locked.

I have read and agree to follow the Christ Presbyterian Church building use and child protection policies. I am aware that children cannot be left unattended in the building or on the grounds and that two child care providers are required for children who do not remain in the assigned meeting room.

Some fees may be required.

This application must be approved by church office.

Your contact information:

* Name:

* Address

* City:

* Zip code:

State:

* Phone #

Cell phone#

* Member of Christ Church:

(1 required)

Yes

* Email Address: