Facility Request Form (Event)

This Form Is For Mount Zion Internal Use Only!

Thank you for you requesting meeting or event space.  Please ensure that your Resource Director is aware of  all facility request before submission. Please contact administration at (336) 373-4202 if you should have questions.

All facility request must be submitted by Monday at noon, 14 days prior to desired date.

The Church Administration reserves the right to cancel or reschedule any event to accommodate any church-wide facility usage.

Today's Date *

Event Start Date *

Event End Date

Event Start Time *

121234567891011 : 0030 AMPM

Event End Time *

121234567891011 : 0030 AMPM

Ministry/Group Name *

Event Title *

Event Description *

Contact Person / Department / Agency making space request *

Contact Email *

Contact Person's Phone Number *

Ministry Leader (if different)

Ministry Leader's Email

Phone Number of Ministry Leader

Frequency *

Every Week

Every Other Week

Once A Month

One Time

Day of the Week *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Number of Rooms

Number of People Expected *

Room Requested

Sanctuary

Chapel

Fellowship Hall

Classroom

Registration Table

Atrium

Are tables needed? ---NoYes

If yes, how many?

Will registration be taken for this event? ---NoYes

Will eNGAGE be handling your registration? ---NoYes

If no, how will registration be handled?

Will your event be caterered? ---NoYes

If yes, what is the name of the company and their phone number?

Desired Set-up

U-Shape

Circle

Lecture (rows of chairs)

Empty Space

Classroom (with tables)

Boardroom

Reception / Banquet

Other

Media Equipment Needed

Wi-Fi

CD Player

TV/VCR

TV/DVD

LCD Projector (You must provide your own laptop)

Screen

Microphone & Stand

Audio / Visual

Additional Comments or Request

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