Room Reservation Request 
Please Note: No events will be scheduled during Easter Week or Christmas Week.

Today's Date:
 *
 
*** EVENT INFORMATION
Type of Event:
New
Change
Cancellation
Is this event on the church calendar?
YesNo
Event Description:
 *
Desired Starting Date:
 *
Desired Ending Date:
 *
 
Set-up Start Time:
 *
Event Start Time:
Event End Time:
Clean-up End Time:
 
*** SPECIAL NEEDS
Is childcare needed?
YesNo
If yes for how many childen?
If yes for what age(s)?
Note: Approval to use the nursery area must be secured from the Head of the nursery department.
 
Is kitchen access needed?
YesNo
 
*** EQUIPMENT NEEDS:
# Round tables:
# 8-foot tables:
# 4-foot tables:
# Chairs
Other:
Other:
Other:
 
***MEDIA/AUDIO NEEDS:
PROJECTOR/DVD/VCR
YesNo
Boom Box
YesNo
*Media Tech Support (sanctuary only) - a fee may be charged - see note
YesNo
*Sound Tech Support (sanctuary only) - a fee may be charged - see note
YesNo
*Music Support - a fee may be charged - see note
YesNo
Other:
*PLEASE NOTE that there may be a charge for technical/music support. Unless you have prior clearance media techs are required to operate the sound board and/or computer. Please check on availability of technical staff as early as possible.
 
*** CONTACT INFORMATION
Name:
 *
Home Phone:
 *
Mobile Phone:
Work Phone:
Email:
Security code:
 *
Do not enter anything in this field:

* indicates a required field
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    11441 E Central Ave    Wichita    KS   67220     316/204-3024