Building or Equipment Request Form
Date Submitted:
(mm-dd-yyyy)
Date / Time of Activity:
(mm-dd-yyyy)
Type of Function:
Ministry/Organization:
Person Requesting:
Contact Number:
Church Space Needed: (check one)
Area(s) Requested
Sanctuary (Gym)
Youth Chapel
Room(s) Specify #
Multipurpose Room
Kitchen
Equipment Needed: (check one)
Vans (#)
Overhead Projector
Video/TV
Chairs (#)
Tables (#)
Blackboards
Ice Chest(s)
Water Coolers (#)
Other (specify)
Special setup or additional instructions: