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CCC Facility Use Request
Your Name :
Today's date :
Check here if this is a one time use.
Date of one time use :
Set Up Time :
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 Noon
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
12 Midnight
:00
Start Time of Event :
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 Noon
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
12 Midnight
:00
Check here if this is a recurring use.
Start Date :
End Date :
Day of the Week: :
Indicate occurrence (weekly, monthly, etc) :
Name of Event :
Sponsoring Organization :
Contact Name :
Contact Phone :
Room or Space Requested :
Start Time of Event :
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 Noon
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
12 Midnight
:00
End Time :
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 Noon
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
12 Midnight
:00
Estimated number of attendees :
If you need chairs, how many?
If you need tables, how many?
Check here if you will need the piano.
Check here if you will need to use any sound/and or equipment from the church.
Television
DVD player
CD player
Video Projector
Do you need microphones? Indicate what kind: Lapel, handheld, wireless, etc.
Please indicate any special instructions for this event.