Evergreen Church - Facility Request

Facility Request
Office Hours (9:00 - 12:00, 1:00 - 5:00, Mon - Wed)
If you would like to use Evergreen Church for an upcoming event, activity or meeting, please complete and submit this form. Your request will be reviewed and you will be notified if it has been approved or disapproved. Do not assume your event has been approved until you have been notified.
Personal Information
Today's Date
Name of person completing the form.

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Contact person if different from person filling out this form.

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Event Details
Event Title
Select one
If Reoccurring
If Weekly
If monthly, what day of each month (2nd Monday, 3rd Friday, etc.)
Event Start Date
Event End Date
Event Start Time
If you need access to the facility more than 30 minutes prior to the start of the event, please note the time you will need access.
Event End Time
Facilities Needed
(Check all that apply)
Additional Event Details (List names of responsible person)
Set Up
Security
Sound/Light Tech
Tear Down
Child Care
Other information you would like for us to know.
Should be Empty:

Facility Request