SPECIAL EVENT REQUEST FORM - INTERNAL - Piedmont Community Church

Today's Date *

Name of Group *

Person Making Request *

Email *

Phone Number *

Initial Here *

I acknowledge that I have fully read and understood the following policies: An event request should be submitted at least 60 days before its proposed date. Communication for all events require 6 weeks of promotion. This form is a request and is not finalized until the staff has been informed and the staff has approved it. Once approved, someone on the church staff will reach out to you for more details.

How many people do you expect to attend the event? *

Proposed Date & Time: *

Date

Time

Event Requires Multiple Dates (We'll contact you for more details)

Yes
No

Will this event need childcare?

Yes
No

Estimated Duration of Event – Include set-up and clean-up time. *

Do you anticipate staff involvement? *

Name(s) of staff member and have they agreed to assist?

Event Description: (Please be descriptive, including proposed event name, i.e. Pizza Night) *

Is any portion of the event being donated or resourced by a church member or outside organization? If yes, who?

What is the estimated cost for this event?

Has this event been budgeted? *

If so, please provide expense category (ie: mission, deacons)

Is there a charge for participation and, if so, what is the cost? *

Initial Here *

I acknowledge that I have fully read and understood the following policies: My group is responsible for washing and returning plates, utensils, and tablecloths to their proper location at the end of the event. We agree that facilities should be left as it was found. My group is only allowed to access to the agreed upon areas and equipment. If my group requires more equipment or space I will contact Jay Foreman for approval and assistance.

Requested Locations *

Choose all that apply.

Additional Equipment Needed

Check all that apply.