Facilities Request
Facilities Request
Event/Activity:
*
Sponsoring Group:
*
Contact Name:
*
Contact Telephone:
Contact Telephone:
*
-
###
-
###
####
Date of Event/Activity:
Date of Event/Activity:
*
/
MM
/
DD
YYYY
Set-up Time:
Set-up Time:
*
:
HH
MM
AM
PM
AM/PM
Start Time:
Start Time:
*
:
HH
MM
AM
PM
AM/PM
Ending Time:
Ending Time:
*
:
HH
MM
AM
PM
AM/PM
Expected time of exiting building:
Expected time of exiting building:
*
:
HH
MM
AM
PM
AM/PM
Location of Event:
*
Location of Event:
Sanctuary
Luther Hall Kitchen
School
Chapel
Krueger Hall
School Kitchen
Luther Hall
Krueger Hall Kitchen
School Classroom(s)
Outside (provide details below)
Other
Other
Location Additional Comments:
Entrances/Exits (see map below):
*
Entrances/Exits (see map below):
1
2
3
4
5
6
7
7A
8
9
10
11
12
13
Parking:
*
Parking:
East Side
North Side
West Side
South Side
Set Up Diagram (email separately to duval@stmattsonline.com):
*
Set Up Diagram (email separately to duval@stmattsonline.com):
Yes
No
Furniture Requirements:
# Tables Round
*
# 8' Tables
*
# Chairs
*
Podium
*
Podium
Yes
No
Special Needs:
Special Needs:
Pastor
Custodian
Supervisor
Organist
Secretary
Duplicating Services
Media/Technology Requirements:
Media/Technology Requirements:
Sound System
Project/Screen
Virtual Meeting (Zoom)
Video Board (Sanctuary)*
Microphone
Livestream (Sanctuary/Krueger Hall only)
Other Requirements:
Cost/Charge:
Permits:
Permits:
Yes
No
Permits Secured:
Permits Secured:
Yes
No
Certificate of Insurance (email separately to duval@stmattsonline.com):
Certificate of Insurance (email separately to duval@stmattsonline.com):
Yes
No
Entry/Exit Map: