Colonial Heights Presbyterian Church | Building Usage Request

Form Submitted By:

Date(s) Requested & Day of the week (Example: Tuesday, May 19)

Room(s) Requested

Time Required (Includes set-up/clean-up) | Example : 5pm - 8pm

Food to be served

Yes

Actual Event Time | Example 6pm- 7pm

Building keys needed

Yes

Event Title

Church Related Event?

Yes

Anticipated Attendance

Number of Minors | Number of Adults (Example: 15 Minors and 5 Adults)

Contact Person

Email Address

Phone Number

Set-Up Details

Number of Tables

Number of Chairs

VCR or TV Needed? What?

Please note that usage of the church's audio/video equipment is not guaranteed. Usage is subject to the nature of the request. Please be specific with what you are requesting so we can be as straight forward as possible in our response.

Set-up/Clean-up to be done by:

Please Note: This form in only for reserving space and equipment. Persons hosting events are responsible for set-up/clean-up unless prior arrangements are made with the Custodian or Building and Facilities Committee. There will be a charge (to be determined by the Building and Facilities Committe) for set-up/clean-up for non-church related events.

Success! This form has been submitted. Please allow a week to process your request