Family Life Center

Building Use Form Family Life Center

TODAY’S DATE:

NAME OF MINISTRY/EVENT/GROUP(Required)

CONTACT PERSON REQUESTING BUILDING:(Required)

CONTACT INFORMATION(Required)

cell other

PURPOSE FOR BUILDING USE

DATE OF FUNCTION:(Required)

FUNCTION START TIME:

FUNCTION END TIME

I WOULD LIKE TO ARRIVE ON THE DAY OF THE EVENT AT:

NUMBER OF PEOPLE EXPECTED

DATE

TIME: FROM

TIME: TO

EQUIPMENT REQUESTED FOR THIS EVENT:

NOTE: You are responsible for the restoration of the Family Life Center upon completion of the function.

Signature of person completing form(Required)

Date

Date Rec’d

Rec’d by

Approval

Yes

Date Notified

Notified by