Facility Request (Event)

Today's Date *

Event Start Date *

Event End Date

Event Start Time *

Event End Time *

Ministry/Group Name *

Director/President of Organization

Phone

Contact Person / Title *

Phone

Contact Email *

Event Title *

Event Description *

Estimated number of people

Room Requested (please check all that apply)

Main Sanctuary

Classrooms

Vestibule area

Are tables needed?

If yes, how many?

Desired Set-up

U-Shape

Circle

Lecture (rows of chairs)

Empty Space

Classroom (with tables)

Reception / Banquet

Other

Do you need classrooms? If so, how many?

Equipment Needed (Check all that apply)

Musical Instruments

Drums*

Guitar(s)*

Keyboard(s)*

OtherOther

Will your event be caterered?

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

Media Equipment Needed

Wi-Fi

CD Player

TV/VCR

TV/DVD

LCD Projector (You must provide your own laptop)

Screen

Microphone & Stand

Audio / Visual

OtherOther

Paragraph

*Please note that sound system, and video equipment can only be operated by FWMLV staff and the fee is $50.00 per hour per staff member for non-members. 
 
** FWMLV a security staff is required to be present for all functions from start to finish and there will be a fee of $50.00 an hour per staff member. 
 
Signature of this form indicates acceptance of all applicable fees and guidelines.  
 
The person/organization requesting the use of Church facilities hereby absolves the church, its Pastors, leadership, members, or people of any liability for personal injury to any individual resulting from the use of the Church facilities and agrees to be responsible for any property damage that results during the use of the facilities. Please report any damage to the church office promptly. The group or individual using the facility is responsible for set up, clean up, and return to normal set up of the facility.  
                                                                                                                                                              
(See “Responsibilities after Building Use “(above)

Date: ____/_____/_____ Signature of Responsible Party _________________________ 
 
*******************************************************************************************************************************
 
For office use only: 
Approved by: ________________________________ Date: __________________  
 
Copy to:  Security Staff ____Office____ Audio Dept. ____ Church Coordinator ____

Additional Comments or Request

Shores Baptist Worship Center

Forms

Shores Baptist Worship Center

414 Silver Rd. Ocala, Florida