Member Room Request Member Room Request This form is to be used by First UMC Lafayette Members for Church related activities and business.All other uses must be submitted on the Building Use Contract form. Name* First Last Cell PhoneHome PhoneEmail* Event START Date* Date Format: MM slash DD slash YYYY Event START Time : HH MM AM PM Event END Date* Date Format: MM slash DD slash YYYY Event END Time : HH MM AM PM Nature of Event*Class/TrainingSocialSmall Group MeetingChurch Committee MeetingName of EventChurch CommitteeCouncilFinanceSPPRUMWTrusteesMissions and OutreachYouthFacility Spaces You Are Requesting*check all that apply Griffiths Social Hall Narthex Lobby Classroom Choir Room Sanctuary Kitchen Office Outdoor Other DescribeSetup TimeAdditional Set-up or Tear-down time needed? DescribeType of Activity (meeting, movie, pot luck, etc.)*Expected Number of Participants*Participant Age GroupsOther Responsible SupervisorsWill Admission be Charged?YesNoHow Much?Will Items be Sold?YesNoWhat 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.YesNoPlease 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?YesNoAny Additional Notes/Comments/ConcernsSubmission DateIP AddressEmailThis field is for validation purposes and should be left unchanged.