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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?
Yes
No
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?
Yes
No
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?
Yes
No
*** EQUIPMENT NEEDS:
# Round tables:
# 8-foot tables:
# 4-foot tables:
# Chairs
Other:
Other:
Other:
***MEDIA/AUDIO NEEDS:
PROJECTOR/DVD/VCR
Yes
No
Boom Box
Yes
No
*Media Tech Support (sanctuary only) - a fee may be charged - see note
Yes
No
*Sound Tech Support (sanctuary only) - a fee may be charged - see note
Yes
No
*Music Support - a fee may be charged - see note
Yes
No
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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A Church That Cares About You
11441 E Central Ave Wichita KS 67220 316/204-3024
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