RBBC Facilities Use & Equipment Request Form

ONLY FILL OUT THE SECTIONS THAT APPLY TO YOUR REQUEST. (some fields are required)

Name/Description of Event

Date of Event

On Campus / Off Campus Event

On Campus

Off Campus

Name of Contact Person

E-Mail Address of Contact Person

Phone Number of Contact Person

What time will this event BEGIN?

What time will this event END?

Recurring Event?

Prior Set-Up Time Needed?

Number of Adults Attending This Event

Number of Children Attending This Event

Describe the Buildings and Room(s), and other facility needs requested for this event.

Describe the specific type of room set-up will you need.

Indicate your equipment needs here.

An Audio Technician is required for the operation of Sound/AV equipment use, unless otherwise arranged

PLEASE RETURN LCD PROJECTORS TO THE OFFICE.

For Sound equipment, please be as detailed as possible on the equipment that you need.

If you are requesting the use of eqipment from the church, choose one of the following setup options

Indicate the supplies needed (church ministry functions ONLY. Other functions should provide own supplies)

Who will be responsible for unlocking/lock-up process?

Other Information About This Event / Questions?

Facilities Policy - Please read through the following guidelines and initial on the line provided

General Policies:

- We are able to provide tables, chairs and other equipment arranged to suit your needs

- At the close of your event, you must provide for basic cleanup of any room(s) used, including removal of your personal items and all trash to the dumpster. We will provide for sweeping, mopping, vacuuming, restrooms, adjusting thermostats, turning-off lights and building lockup

- Equipment must not be removed from the facilities without prior written approval

Kitchen Usage Policy:

- Please leave the kitchen in clean condition as you originally found. Wash, dry, and place all dishes and utensils in proper cupboard space

- Hang any dishcloths and damp towels to dry

- Bag and remove all trash to dumpster

- Sweep and mop the kitchen floor as necessary

- Remove all personal dishware and any remaining food or drink

Playground Use Policy:

- Adult supervision is required on-site at all times children are present

- Please police the area and remove all trash before leaving

- All children while in the playground must wear shoes

- The playground must be locked and secured when not in use

Agreement Statement

I accept full responsibility for this function and agree to follow the Facilities Use Policy in cooperation with the stewardship effort of properly maintaining RBBC facilities: (Deposits may be required to borrow certain equipment for Non-ministry related functions.)

Thank you! This form has been submitted.