Facility Request

Event Date(s):         

Day of the Week (Check One):
Sunday   Monday   Tuesday   Wednesday  Thursday   Friday   Saturday

Event Time:

Requested Set-Up Time (if you are doing the set-up):

Name of Group or Individual Requesting Facility:
       

Individual(s) Responsible:

Email Address:

Phone: Work    Home    Cell

Event Description: 

Number Attending: Adults   Children

If Children's Event, number of Adult Chaperones:

Member of Asbury?  Please Select Yes No

Facility Needs

Specific Room or Area Requested:

Number of: Chairs    Tables:

Instructions for chair and table arrangements (all non-church sponsored activities are responsible for set-up and take-down of table and chairs as well as clean up of the facility used):

Will food be Served? Please Select Yes No    

Name of Caterer of Food Provider:
Provider Telephone Number:

Other Equipment: TV/VCR/DVD   White Board   P/A System  
Overhead Projector   Lecturn

Will a sound technician be needed? Please Select Yes No

Third Party Performing Groups (Entertainment, Bands, etc.):

Kitchen Facility Needed: Please Select Yes No
If  the kitchen or any kitchen supplies are needed, please contact Shayne Acton at 271-9930 or aci_corp@bellsouth.net.

Child Care Needed: Please Select Yes No
If child care is needed, please submit a Childcare Request Form.