Central Campus Request Form

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**NOTE: ALL EVENT ORDER FORMS ARE SUBJECT TO STAFF APPROVAL.
ALL EVENT ORDER FORMS MUST BE SUBMITTED AT LEAST 2 WEEKS PRIOR TO EVENT.**
EVENT COORDINATOR WILL BE NOTIFIED OF CONFIRMATION OR REFUSAL.
DO NOT BEGIN PUBLICITY UNTIL NOTIFICATION.

Description of Event (required)

Requested By: (required)

Home Phone: (required)

Cell Phone:

Your Email: Enter "None" if you do not have an email address.

Date of Event: (required)

Event Start Time: (required)

Event End Time: (required)

Date of Set Up: (required)

Set Up Begins At: (required)

Set Up Ends At: (required)

Number of People Attending: (required)

Room Requested: (required)

Alternate Room Requested:

Will You Need to Use the Kitchen? (required)  Yes No

Is This a Recurring Event? (required)  Yes No

If Recurring Daily, Check All That Apply
 Sunday Monday Tuesday Wednesday Thursday Friday Saturday

If Recurring Weekly, Check All That Apply
 1st Week 2nd Week 3rd Week 4th Week 5th Week Last Week Every Other Week

If Recurring Monthly, Check All That Apply
 January February March April May June July August September October November December

Room Set Up Requirements & Additional Comments
Please describe the room set up if you need tables or chairs arranged in a certain way.

Number of Tables Needed...If no tables needed enter N/A. (required)

Number of Chairs Needed...If no tables needed enter N/A. (required)

Equipment Needs (TV, DVD, Projector, Screen, Podium, Microphone, etc... If no equipment is needed enter N/A. (required)

Additional Questions:

Is this a fundraiser? (required)  Yes No
Fundraisers MUST be approved by the Finance Committee prior to booking space.

Is childcare needed? (required)  Yes No
Childcare Request forms must be submitted two weeks prior to event.

Is custodial needed? (required)  Yes No
There is a 4 hour minimum at $20 per hour.

I understand our group's cleaning responsibilities? (required)  Yes No
I/We understand and agree to clean the room and return the tables and chairs to the original room layout according to the posted room layout on the wall by the door ONLY IF CUSTODIAL SERVICES ARE NOT REQUESTED.

By requesting space at Franklin FUMC I confirm that I have read the "Statement of Policy" and understand my responsibilities in using the Church facilities.
 Yes

Statement of Policy

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Childcare Request Form