Event Request Form
Submitted By:
Phone #:
Email:
Ministry Department:
Event Name:
Proposed Date(s):
Person in Charge (PIC):
PIC Phone #:
PIC Email:
Set-Up PIC:
Clean-Up PIC:
Proposed Location:
Proposed Start Time:
Proposed End Time:
Recurring Event Y/N:
 Yes
 No
Dates of Recurrence:
Facilities Requested (indicate the rooms you plan to utilize):
 Main Sanctuary
 Living Room
 Kitchen
 Dance Room
 Office Classroom
 Classroom 2
 Classroom 3
 Classroom 4
 Classroom 5
 Classroom 6
 Prayer Room
 Other
Event Description:
Set Up Time:
Clean-Up Time:
Audio Requested Y/N: (if yes, explain need)
Advertising Req. Y/N: (if yes, describe types)
Child Care Req. Y/N:
 Yes
 No
 Maybe
Calendar Conflicts Y/N: (if yes, describe)
Estimated Costs:
Date Check Requests Submitted:
Other Notes or Important Information:
For Approving Officials: (Please ensure that this document is kept moving and completed within 24 hours of submission)
Approved by:
 Senior Pastor
 Department Head
 Facilities
 Media
 Sound
 Calendar
Date Form was Completed, Copied, Routed to Departments and Returned to Submitter:
Please use this section for any additional information required to describe any part of this event or if associated costs need to be divided among different departments.


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My heart shall rejoice in Your salvation. ~ Psalms 13:5