Schedule Request

Ministry:

Person Making Request:

Mailing Address:

Email:

Day Phone:

Evening Phone:

Contact Person for Confirmation:

Name of Event:

Purpose of Event:

Date Requested:

Room Requested:
-- choose -- Room 103/104 Conference Room Lind Hall Church Other
If other, list here:

Event Start Time of Day:

Event End Time of Day:

Food or Beverage to be Served:

Estimated Number of People:

Equipment Required:

Comments: