Name *

First Name

Last Name

Phone *

(###)

###

####

Date of Event *

MM

DD

YYYY

Is this a church-sponsored event? *

Fees apply for non-church sponsored events.

Yes

No

Is a church member involved in this event/organization? *

Some fees may still apply for facility use by church members.

Yes

No

Areas Requested for Use: *

Check all that apply.

FLC Gym

FLC Lobby (no food or drink)

FLC Kitchen

FLC Solarium/Fellowship Hallway

FLC Upstairs Kitchenette/Assembly Area

Sanctuary (no food or drink)

Classroom(s)

Nursery

Old Fellowship Hall (basement)

You may optionally submit a room layout drawing or diagram to help our staff with your setup. Let us know if you plan to submit a room diagram. *

Layout diagrams can be brought to the church office or emailed to missy@tabernaclebaptist.com. Please include your name and the name and date of your event.

Yes, I will be submitting a room layout diagram.

No, I do not need to submit a room layout diagram.

Will food be served at the event? *

Please note food and drink may not be served in the FLC Lobby.

Yes

No

If yes, food will be:

Prepared on-site

Catered

Potluck style

Church-owned Supplied or Equipment Needed *

None

Tables and Chairs

Audio/Video (microphones, PowerPoint, etc.)

Other

Is childcare needed? *

Childcare Policies 1. Childcare request must be received 2 weeks prior to event. 2. Childcare will only be provided for 3 or more children. 3. Two childcare workers must be present for any and all events. 4. Childcare wages are $15/hour per worker. 5. Wages are paid from the ministry that is hosting the event.

Yes

No

Facility Use Guidelines and Policies Agreement *

I have read and agree to comply with the Facility Use Guidelines, Policies, and Fees of Tabernacle Baptist Church.