Member Room Request

Name*

First Last

Cell Phone

Home Phone

Email*

Event START Date*

Event START Time

: HH

MM

Event END Date*

Event END Time

: HH

MM

Nature of Event*

Name of Event

Church Committee

Facility Spaces You Are Requesting*

check all that apply

Griffiths Social Hall
Narthex Lobby
Classroom
Choir Room
Sanctuary
Kitchen
Office
Outdoor
Other

Describe

Setup Time

Additional Set-up or Tear-down time needed? Describe

Type of Activity (meeting, movie, pot luck, etc.)*

Expected Number of Participants*

Participant Age Groups

Other Responsible Supervisors

Will Admission be Charged?

Yes
No

How Much?

Will Items be Sold?

Yes
No

What Items?

Will Food/Beverages be Served?

Note: Alcoholic beverages of any kind are prohibited on church premises.
In the Sanctuary only spill-resistant, covered cups are permitted.

Yes
No

Please publish this event in:

Every effort will be made to include publication as it is written but may need to be edited due to space constraints.

Bulletin
Mid-week Messenger email
Monthly Newsletter
Website News
Facebook

Will you bring your own printed flyer or brochure?

Yes
No

Any Additional Notes/Comments/Concerns

Submission Date

IP Address

Email

This field is for validation purposes and should be left unchanged.

First UMC Lafayette

Sharing the Love of God through worship, education and outreach.

Member Room Request

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