North Campus Request Form

*All requests must be submitted at least 4 weeks prior to event.
*All requests are subject to staff approval.
*Event coordinator will be notified of confirmation or refusal.
*Do not begin publicity until event has been approved.

Description of Event (required)

Requested By: (required)

Home Phone: (required)

Cell Phone:

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

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)

Land Zone (Area) Requested:
 Glade Parade Ground Area Around House Parking Area Track Area

Traffic Management Needed? (required)  Yes No

Equipment and Other Needs
 Electricity Water Portable Toilets Tables Chairs Garbage Cans Grass Mowed

Any additional equipment needs?

Contact Person onsite at event if different than stated above. Enter "Same As Above" if same person.(required)

Contact Number onsite at event if different than stated above. Enter "Same As Above" if same person. (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.

Event Coordinator is responsible for set up, clean up, contact police officer for traffic management if needed, and contact the FFUMC North Campus property manager. I have received and read the General Guidelines for use of the land and understand my responsibility in using the land.
 Yes

Signature

Date