Building Use Request Form

Submit this completed form to the Head Deacon or one of the Elders for approval by the Church Board.

T.C. S.D.A. MEMBER’S REQUEST FOR THE USE OF THE CHURCH FACILITY

 NAME:______________________________PHONE:_______________Date of request____________

GROUP_________________  SPONSORING ORGANIZATION:_____________________________

I wish to request the use of the

 ___church wing (sanctuary) and/or ___kitchen/ multi-purpose room or _________for the following event:

EVENT____________________DATE__________________ TIME: from__________to___________

Expected attendance:________ Deposit charged  $100,   Amount paid $_______ Date paid:__/__/____

Specific related requests:_______________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

The Kitchen team leader designated to supervise kitchen operation according to the kitchen policy is:

Leader:_____________________Phone____________Number of team workers to assist:____________

Name 4:  1.________________ 2._________________ 3._________________ 4.___________________

I acknowledge my need to complete the list of required tasks related to its use or forfeit my deposit.

Signed__________________________________________________Date_________________________

Address___________________________City___________________ZIP_______Phone_____________

To report any technical or content problems contact Kerry Kelly by e-mail or call 231-228-4050