Activity Request Form

IMPORTANT: To assure approval, this form must be submitted to the specific Ministry Pastor no later than TWO (2) WEEKS prior to the activity. Events in conflict may be considered on a first requested basis.

Department/Ministry

Description of Activity

Date Submitted

Your Phone

Individual Making Request

Individual Making Request :: Activity Coordinator

Date of Event

CHURCH VAN NEEDED

Yes
No

CHURCH VAN NEEDED :: Equipment Only

NOTE: Pre-qualified individuals only may drive Church owned vehicles. Please complete the Vehicle Request Form.

Destination City

Driver's Name

Qualified Driver?

Yes
No

Date for Return

Time for Return

Vehicle Trip Form Complete?

Yes
No

FACILITIES NEEDED

FL Center
Chapel
Kitchen
Nursery
Grace Dome
Other (Please list below)

Other Facilities Needed

Opening Time

Closing Time

Date/Time for Pickup

Date for Pickup

Time for Pickup

Date for Return

Time for Return

EQUIPMENT NEEDED

Overhead
TV/VCR
Screen
Sound System

# of Tables

# of Chairs

# of Paper Plates

# of Cups

# of Napkins

# of Utensils

# of Utensils :: Please Specify

Office Supplies

Other Office Supplies

Note: Any church property being used on or off the premises must have prior approval and be used for church related activities only. If equipment and or supplies need to be picked up in advance, prior arrangements must be made. Event coordinator is responsible for the following: Procuring of needed items (in most cases); the return of borrowed items to the pick up location in the same condition as received; set up and take down of rooms, classes, etc. Event coordinator should arrive early to prepare for their event.

Activity Request Form

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