Event/Publicity Scheduler

Following is the form required for all event and publicity requests.  Please complete the form in its entirety.  Fields in red are required.  If a required field does not apply to your request, please select the appropriate response or type "na" in the field.  Please review carefully the "Terms of Agreement" at the bottom of the form.  Requests are reviewed each Tuesday at Staff Meeting.  You will be notified of approval or denial.
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EVENT DETAILS Event Name
Date of Event	Alternate Date
Group/Organization	Person in Charge of Event
Phone	Email
Starting Time	Ending Time
Set Up Time	Clean Up Time
Rooms Needed	Off Campus Destination
PUBLICITY Please select all areas where you would like your event promoted: Church Bulletin Website Other (Please Specify)
Please list how you would like your message/promotion to read. (We reserve the right to edit content.)
ITEMS NEEDED Will you need a church key/alarm code? (Coordinate with the church office Mon-Thurs from 9 AM to 3 PM.) YesNo
Will you need sound equipment/ personnel? YesNo Please select all of the following that you will need:
Round Tables	Rectangle Tables
Blue Chairs	Folding Chairs
Dinner Plates	Dessert Plates
Bowls	8 oz. Cups
16 oz. Cups	Napkins
Spoons	Forks
Knives	Table Cloths
List any athletic equipment you will need.
Will you need any church vehicles? NoVanBusBoth Please List The Driver's Name(s) All drivers must be approved by the church office.  Bus drivers must have a current CDL.
List any additional items you will need.

TERMS OF AGREEMENT: 1. I understand that completing this form does not confirm the date or facility use. 2. I understand the event is confirmed when I receive confirmation from the church office staff. 3. I understand that picking up the church key/alarm code is my responsibility. 4. I will keep keys in my possession and will not duplicate. 5. I will return all rooms used to a clean, organized condition. REGARDING VEHICLE USAGE: 1. I understand that picking up and returning vehicle keys is the driver's responsibility. 2. I understand that seat belts must be worn by the driver and ALL passengers AT ALL TIMES. 3. I will also complete the "Van/Bus Use Report Form". 4. I understand that the driver of the bus MUST have a current appropriate CDL. FINALLY: I understand that if access to the church building outside of normal operating hours is needed, or if I need use of the church vehicles, I MUST contact the church Office Administrator directly either by telephone or in person to coordinate pick up of the key(s).

I agree to the above terms.