Facility Use Request
(fill out for priorities 2-5)
Name of person making the request ____________________________
Member ______________ Non-member___________________
Date requested __________________________________
Time (also includes time for decorating if needed) Start_______ Finish _______
Type of Activity ____________________________________________________________
Approximate number of guests attending ________________________________________
Type of refreshments served __________________________________________________
Will you need a special table arrangement? Yes_____ No_____
If yes, please describe. ______________________________________________
_________________________________________________________________
Will you use the church’s plates, glasses, cups, and silverware? Yes_____ No ______
Will you require the use of the dishwasher? Yes_____ No______
(There is a separate $20 dishwasher fee.)
Are you familiar and comfortable operating the dishwasher Yes___ No ___
Are you familiar with our kitchen? Yes____ No_____
Will you need help in the kitchen? Yes_____ No_____
Will you require the use of the church linens? Yes_____ No______
(There is a $3.00 charge for each linen used to cover the cost of cleaning.)
________________________ ______________
Signature Date
Please print, fill out, and return to church.
