A Church intake for Meetings, Celebrations and Non-Profit events 

Contact _______________________
 Phone _______________________ 
with ________________________ 
Set up day and time _________________
Event day and time ____________________
End time  ________________________ 
Projected amount people ___________
Clean up day and time _____________________________

Requesting Rooms
_____ Chapel
_____Upper Room 
_____Kitchen Included with all rentals 
_____Game room
_____Patio

Audio/Visual Rental
_____Stage Lights
_____Projector
_____Microphone
_____Audio hook up for phone, iPad or CD
_____Sound and Light Operator $50 flat fee

Kitchen Rental
Catered by & phone number_____________________________
_____ Popcorn machine ($2 per bag-$25 cleaning fee)
_____ Water Station
_____ Linens
_____ Dishes, glasses, utensils and serving platters  

Staff 
Business name & phone number_________________________
____ Sound Technician $30 hourly
____ Bartender $40 hourly
____ Busser $25 hourly
____ House Keeping $30 hourly

Notes: