CB Facilities Request

First Name *

Last Name *

Phone Number *

Email Address *

What is the Event? *

Date Requested? *

*Sundays & Wednesdays are unavailable without executive approval*

Times Requested? (including set-up/clean-up) *

ex. 11:00 AM to 3:00 PM

Assistance Requested (i.e. chairs & tables set up, audio, projection, stage lighting, etc.) *

*Please note that a MINIMUM of 4 weeks' notice is required for the use of audio, projection, stage lighting, etc. and MUST be approved by the Creative Director*

By typing my name below, I agree to be responsible to ensure that the facility is returned in the condition in which it was presented to me. If there are any damages, I agree to notify one of Center Bethel's pastors and/or our building event coordinator. In the event that there are damages from my party's use of the facilities, I understand that I may be responsible for the cost of repair or replacement for the damaged item(s).

Signature