Event Facility Request Form

Event is NOT approved until PASTOR signature has been received. You will be notified regarding approval.

Contact Person______________________________________Phone________________Email_________________________

Name of Event________________________________________________________________________________________

Beginning Date____________________________________ Ending Date_______________________________________

Exclusion Dates_______________________________________________________________________

Day(s) of the week____________________________________ Start Time_______________ End Time________________

Setup Time_________________________ Tear-down Time______________________

1

( Office Use Only)

Date Request Received _________________

1. Event approval _______________________________2. Room approval _______________________________3. Technical approval ____________________________4. Kitchen approval ______________________________5. Childcare approval ____________________________

SIERRA BIBLE CHURCH15171 Tuolumne Rd., Sonora, CA 209-532-1381 Fax: 209-532-2369Contact debm@sierrabible.com

SBC Event Off Campus Event Non-SBC Event… MUST provide Certificate of Additional Insured

Publicity Request Form submitted to Communications Asst_____________ (date) Deposit Received Additional Insured Received Hold Harmless Received Advocate Assigned _____________________ Technicians List Given

ROOM/AREA REQUEST

Primary Room/Area Requested_________________________________________________________________________

Additional Rooms____________________________________________________________________________________

2

TECHNICAL NEEDS

Video Audio Podium Portable Sound System Microphone(s) (#_____)

Recreational Sound System

Need help with creating presentation_________________________

Notes_______________________________________________________________________________________________

Technician working event_______________________________________________________________________________

3

Type of mic ____________________

No charge for use of the recreational sound system. Approved technician(s) must be secured before the use of the media systems can be confirmed. Additional charges for tech services may be required.

Form rec’d.

Form rec’d.

OTHER ITEMS

Large Bus Small Bus (2003) Small Bus (1997) Cargo Trailer Green Trailer

Smoker Other ________________________

KITCHEN NEEDS

Worship Center Kitchen

Children’s Building Kitchen

Specific Details: ______________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

I have contacted the Kitchen Coordinator

I have met with Coordinator and been trained

4

CHILDCARE

I have spoken with Children’s Ministry Director and discussed the childcare needs

Number of Children expected

_______ Infant to 24 months _______ Preschool _______ Grades K-3 _______ Grades 4-6

5

FURNITURE NEEDS

_______ Round Tables _______ 8 ft. Tables _______ 6 ft. Tables

_______ Chairs

Other_________________________________________________________________________________________________

__________________________________________________________________________________________________

Setup_________________________________________________________________________________________________

_____________________________________________________________________________________________________

_________________________________________________________________________________________________