FACILITIES USE REQUEST

Name *

Primary point of contact's name (person, not organization). This person will be directly responsible for the event and for all cleanup.

First Name

Last Name

Phone *

(###)

###

####

Room(s) Needed or Area on Campus *

Check all needed

Main Sanctuary

Fellowship Hall

Nursery

Classroom

Green Room

Cabin Chapel

Cabin Library

Hearthstone Room

The Glade

Field

Playground

Hearthstone Room Patio

Main Parking Lot

Other

A/V Needed? *

Sound: speakers and sound system. Media: projectors and/or TVs, camera, computers, platform lights, livestreaming, and ProPresenter in the Main Sanctuary and Cabin Chapel.

Sound

Media

Both

Not needed

If A/V equipment is needed:

There is a mandatory $500 advance security deposit for any use of the A/V equipment in the Main Sanctuary and Cabin Chapel without a Whole word Fellowship appointed Sound or Media Tech. Failure to return all the A/V equipment to its original state and position will result in 100% forfeiture of the security deposit. If Sound or Media Tech assistance is needed, Whole Word Fellowship will seek to provide an approved Sound and/or Media Tech(s), subject to availability. The standard rate for Sound Tech is $100/hr and Media is $80/hr. Payment is made directly to the Tech(s).

I will provide my own Sound and Media Tech.

Sound Tech needed.

Media Tech needed.

KEYS *

I HAVE access (keys and codes) to the church building and campus.

I NEED acccess (keys and codes) to the church building and campus.