Event and Facility Use Form - Chesterfield Baptist Church, Inc.

Event Name/Title *

Event Description *

Phone number

Start Date

End Date

Start Time and End Time

Frequency

One time

Weekly

Bi-weekly

Monthly

Other

Please select days of the week needed.

Sundays

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Please list any dates that will be excluded.

Will you need additional time to set-up and/or clean-up?

Set-up time needed.

Clean-up time needed

Neither

Childcare Provided?

I agree to arrange and offer childcare if needed.

Rooms to be used:

Fellowship Hall

Kitchen

Classroom(s)

Sanctuary

Foyer

Parking Lot

Pavilion

Lawn/Outdoors

This event is off campus.

Equipment Needed

Request assistance from Buildings and Grounds

Seats/Chairs

Tables

Microphone(s)

TV/DVD

Piano

Other

How will participants register for your event?

Contact you/the leader

Online registration form

Sign-up in foyer

Registration is not needed

Check this box if outside vendors be used (ex. bounce house, petting zoo, etc.)

Confirmation *

I have read CBC's Promotional Event Strategy and understand how the marketing/advertising of this event will be prioritized.