Facility Use Request - for non-evergreen events and outside groups

You must read and agree to the ECC-Lakeville Facility Use Policy.  This policy document includes policies for using the Kitchen and Nusery as well.  Read them before reserving a room.  They are in Adobe Reader format and it can also be saved/downloaded.

 Event Information:
Request Submitted by:  
Name of Event:  
Description:  
Use requested for:  




Event Contact Name:  
Phone:  
Email:  
(confirmation is sent to this email)
Est. Max. # Attending:  
 Billing Information (Facility contract will be mailed):
Contact Name:  
Organization Name:  
Mailing Address:  
   
*All facility usage fees, certificate of insurance (if applicable) and signed Facility Contract
must be returned to the church office 10 days prior to the event.
   
 Event Date & Times:
Single Date:  Day of the week: 
  Date: 
  Start time:     End time: 
  Additional set-up time needed: 
  Additional take down time needed: 

Multiple Dates: Day of the week:     Date: 
Start time:     End time: 
   
  Day of the week:     Date: 
Start time:     End time: 
   
  Day of the week:     Date: 
Start time:     End time: 
   
  Day of the week:     Date: 
Start time:     End time: 
   
  Additional set-up time needed: 
  Additional take down time needed: 

Regular Recurring: Start Date:    End Date:
  Start time:     End time: 
  Weeks: 
  Days: 
  Months: 
  Exceptions to the dates above: 
  Additional set-up time needed: 
  Additional take down time needed: 
 Rooms - You must agree to use the space in accordance with the Facility Use Policy.
 
Room(s) requesting:


See a floor plan of the  
building here.  

Sanctuary Room 215
South Hall Room 220
North Hall Room 225
Youth Center Room 230
Outdoors - Parking Lot Room 235
Chapel Room 275
Kitchen  



 

Comments:

 Misc. Information
Yes   No    
Will you be serving beverages (Including more than 10 cups of coffee)?
Yes   No    
Will you be serving food?
Will be bringing our own food and beverages to the event
     (i.e. pizza and soft drinks).
Yes   No    
Are you planning to have music (i.e. singing/worship/special music)?
Yes   No    
Will you need any graphics (i.e. PowerPoint) or use a projector?
Yes   No    
Will there be a speaker who needs a microphone?
Yes   No    
Do you have any special lighting needs?
Yes   No    
Is there any special setup (i.e. require items not already in the room)?