Facilities Use Request Form • Community Evangelical Free Church

Please complete this form and submit 2-weeks prior to event.

Requester must be a member or regular attender of CEFC and shall be present for the entire event.

Date Request Submitted: *

First Name *

Last Name *

Email Address *

Mobile Number *

Event Details

Event Title *

Expected Attendance: *

Event Date: *

If reoccurring event or multiple date event: what is the frequency and or dates

Reserve / Setup Time: *

Event Start Time: *

Event End Time: *

Out-of-Facility *Doors Locked*: *

Supplies and Equipment

6' Table (Rectangle)

60" Table (Round - 14 Available)

Chairs

Key Needed: *

Yes

No

Note: Facilities policy states that setup and tear down is the responsibility of the requestor. Please state if you need assistance from staff for setup/teardown. Fees may apply.

Comments and/or Additional Requests for Equipment (Note: additional fees may apply)

Facility Use Policy 2022.12

Housekeeping Checklist

I have reviewed and understand the Facilities Use Policy and the Housekeeping Checklist. *

Yes