Faith Community Church Facility Use Form Question Title * 1. Name of Organization, Ministry or Family wanting to use FCC facilities Question Title * 2. Contact Information Contact Name Address City/Town Email Address Phone Number Question Title * 3. Ministry Mission / Reason for Event Question Title * 4. Requested Dates 1st Choice Date / Start Time Date Time AM/PM - AM PM 1st Choice Date / End Time Date Time AM/PM - AM PM 2nd Choice Date /Start Time Date Time AM/PM - AM PM 2nd Choice Date /End Time Date Time AM/PM - AM PM Question Title * 5. Set Up Day Needed? Yes No If yes, When? Start and End Time Question Title * 6. Will this be an ongoing ministry meeting or event? No Yes If yes, how often? Question Title * 7. Request Building/Rooms (check all that apply to your needs) Worship Center/Sanctuary Worship Center/Nursery Worship Center/Classrooms Worship Center/Gym Worship Center/Kitchen Ministry Center/Kitchen Ministry Center/Youth Room Ministry Center/Middle School Room Education Building Room 1 -Preschool Education Building Room 2 Education Building Room 3 Preschool Education Building Room 4 Education Building Room 5 Education Building Room 6 Other (please specify) Question Title * 8. Please enter what you need for tables and chairs. Question Title * 9. Sound/Tech Equipment Request Microphones Speakers TV/DVD/VCR Computer Powerpoint/Projector Sound Board Stage Area Other (please specify) No tech items are needed Question Title * 10. Approximate Number of Guests Expected 0 350 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 11. For FCC Ministry Events, would you like this announced in the FCC Spirit of Faith Newsletter? No Yes Not Applicable If yes, please contact Erica at eberdan@fcclynden.org to share your info or type it here. Question Title * 12. Will food be served? Yes No If yes, describe your menu, catering, kitchen needs, etc Question Title * 13. Please read this agreement and select "I agree" to submit this Facility Request Form for approval.I understand and agree to pay the appropriate fees ($75) for non-ministry functions. I agree to compensate the Sound/AV and Custodian in addition to the fee for their time and expertise. (Suggested amounts are $100 each, depending on the event) I agree to supervise all activities held on the FCC campus and will make sure the facilities are only used for the above stated purpose. I will take full responsibility to make sure the premises are left clean and that everything is replaced to where it was found. I will remove all trash my event creates and place in dumpster. IF my event is cancelled, I will contact the church office immediately. I Agree If any, please list questions or comments you have and the church office will get back to you. Question Title * 14. Enter Name to Sign Submit to FCC Office