Facility Use Request Form Are you an active member of SVLC? *YesNoFirst Name *Last NameStreet Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeHome Phone *Cell Phone *Email Address *Type of Event *Recurring Event (e.g. group meetings)One-time Event (e.g. Wedding, Celebration, etc.Recurring EventHow often will your event occur?WeeklyBi-WeeklyMonthlyWhen do these events startStart timeHoursMinutesAMPMInclude set-up time for your meetingEnding TimeHoursMinutesAMPMInclude cleanup time needed after meeting endsHow many people do you expect to attend (average)?One-Time EventWhen would you like to hold this event?Start timeHoursMinutesAMPMInclude set-up time for your meetingEnding TimeHoursMinutesAMPMInclude cleanup time needed after meeting endsHow many people do you expect to attend (average)?Will you be offering food?YesNoFood by?Self-cookedCateredWill you need the church kitchen?If yes, what part(s) of the kitchen will be needed?If catered, who will you be using to cater?Will you be serving alcohol?YesNoWhat room (or rooms) would you ike to use? (If known)Name of OrganizationType of Organization?non-profitfor-profitOrganization status?Liability Insurance?YesNoInsurance CarrierAdditional Notes:Send Application
