Calendar Event Submission AND
Facility Usage Request

Use this form to:
1. Submit a NCCC ministry event for the master calendar (on or off site)
2. Request facility use
    Vehicles must be requested using the Vehicle Request Form

Before you complete this form gather details for all required form fields including:
1. Person responsible for building security (lock and unlock)
2. Person responsible for running audio/visual equipment (if applicable)

*Today's Date:                                * Indicates a required field.

Section A: Contact Information

*Sponsoring Group or Ministry:
*Contact Person (you):
*E-mail:
*Address:
*At least one phone number is required:
Home Phone:
Cell Phone:
Work Phone:

Section B: Event Information
       Please include all needed information for pertinent church announcements

*Event Name:
*Event Date:	(if recurring, enter first date here)
Recurring Dates: (for repeating event only)
*Event Start Time:	Setup start time:
*Event End Time:	Clean up finish time:
*Event Description:
*Anticipated Attendance:	*Adults:      *Children 12 & under:

Section C: Facility Use

None: off-site NCCC event submitted for master calendar
            Event location:

 

Rooms Requested On-Site
Sanctuary	Multi-Purpose Room
Kitchen	Conference Room
Music Room	Classroom: Optional--Specify Room #
Nursery	Other:
Who has agreed to be responsible for building security?
This person must have a building key and security code.  If your group does not have someone already authorized for building security, a special request will need to be made for assistance with building security.  You may use the additional comments at the bottom of the page for that request.

Section D: Equipment Use

1. OFF-SITE Events Only
Will you be removing NCCC equipment for this event? Choose One Yes No
If yes please enter the quantity you would take of the following:
	4x8 Tables (3 available)
	Folding Chairs (25 available)
	5-Gallon Drink Containers (2 available)
Enter any additional special requests for off-site equipment use: Special requests will be considered but may not be approved. Vehicles must be requested with the vehicle request form.
2. ON-SITE Events Only
A) Audio-Visual Equipment
Do you need audio-visual equipment?  Choose One Yes No
Please describe your audio-visual need: (projector, CD, mics, etc.)
Who has agreed to be responsible for running audio-visual equipment? Advance arrangements MUST be made with Larry Eifert.
B) Other equipment needed: (enter quantity)
	4x8 Tables
	2x8 Tables
	Chairs
Enter any additional special requests for equipment use: Special requests will be considered but may not be approved. Vehicles must be requested with the vehicle request form.

Section E: Notes and Instructions
 

1. Request Process:

• Your form will be submitted to the church office for review.

• If your request is approved your event will be added to the master calendar.  Please note that ministry events take precedence over other requests.

• For requests by non-NCCC members or for major events such as weddings, a $100 deposit may be required.  The deposit is NOT required for regular use by NCCC members.

• For non-NCCC events a rental fee may be required.

2. Facility Use Instructions:

• Please do not use tape on walls or woodwork.  Use easels to display notices, etc.

• If candles are used, they must be drip less candles.

• If any spots or spills do occur that need cleaning, please notify the Church office for the custodian's attention.

• No alcoholic beverages or illegal drugs are allowed anywhere on the church property. This applies to the building, parking lot, and grounds.

• No-smoking is allowed inside the church building.

Section F: Responsibility Agreement

If my request is approved I assume responsibility for:

• Locking and unlocking the building

• Removal of garbage/trash

• Return of equipment or furnishings to their original location

• Clean up of any rooms used

• Extinguishing all candles

• Turning off all lights and equipment before leaving the premises (e.g. coffee maker)

• Respectful use of all property and equipment

*I have read and agree to the above responsibilities:    Choose One I Agree

Additional Comments or Requests not covered above:

Clicking "Submit" represents your electronic signature and agreement to all terms above.