Facility Request Form - Christ Community Wesleyan Church

Address *

Phone number *

Event Information

Event Description

Event Date *

Back Up Date

Set Up Time *

Event Time *

Clean Up Time *

Is this a recurring event? *

If you have a desired room/space please list it below.

*We cannot guarantee you will be able to use the requested room/space.

Number of People Expected *

Equipment Needed *

tables, chairs, sound, presentation equipment, etc.

Will food be served? *

Cost Recovery Fees

Below is an estimate of fees for facility use. This time frame for the total event (including setup and clean up). Additional fees for support personnel may apply depending on your event. Fees will be finalized on confirmation of event.

Worship Center
Member/Regular Attender     $40.00 Per Hour
Non-member                          $80.00 Per Hour

Gymnasium
Member/Regular Attender     $20.00 Per Hour
Non-member                          $40.00 Per Hour

Banquet Room
Member/Regular Attender     $10.00 Per Hour
Non-member                          $20.00 Per Hour

Classroom
Member/Regular Attender    $10.00 Per Hour
Non-member                         $20.00 Per Hour

Lobby
Member/Regular Attender     $15.00 Per Hour
Non-member                          $30.00 Per Hour

Chapel

Member/Regular Attender $15.00 Per Hour
Non-member $15.00 Per Hour

** All reservations must conclude by 9:00 PM Monday-Friday and 6:00 PM on Saturday

ADDITIONAL SERVICES
Kitchen Access $10.00 Per Hour
Table Linen Rental $25.00 per 10
Portable Coffee Bar $25.00
Coffee Bar with Attendant $75.00
Audio/Video with Sound Tech. $75.00
Set-up and Tear Down. $25.00
Custodian $75.00

Tables and chairs will be provided at no cost. CCWC staff will place requested amount of tables and chairs in reserved area. You will be responsible for setting up tables and chairs in your designated area and returning them to original placement. If you wish to have CCWC staff set up and take down tables and chairs, a convenience fee of $25 will be added.

Guideline Agreement

I understand the following guidelines:
• No tobacco or alcohol on church property.
• When your event is over, please leave the premises within ½ hr. after event, but no later than 9:00 PM.
• Children are not to be left unsupervised in the building, should not be climbing on the furniture and should only be in the room/area where the event is being held, especially during set up and clean up.
• Church equipment, such as tables and chairs, must be returned to original placement.
• All lights must be turned off and doors closed upon departure.
• All trash must be taken to the dumpster at the rear of the building. Room should be left in the same shape it was found.
• I understand that there may be a fee for facility usage, I will be informed of any fees upon approval of my request to use the facility, I will need to provide any fee before the event.
• I understand that I will be responsible for any damages to the church facilities resulting from this proposed use of facilities.
• I understand that church ministries/functions take priority over outside events and may be asked adjust times, rooms and etc. Notice will be given for any conflicts ASAP.
• All events must comply with the official statements of the Wesleyan Church.
There are security cameras in use for the protection of the church. By signing this agreement, you are stating that you will comply with these guidelines. Failure to comply may prevent you from being able to use the facility in the future.

I accept the following guidelines above. *

Questions?

After submission of your request a CCWC staff member will contact you as soon as possible to review your submission and confirm reservations.

If you have questions or concerns, contact Nick Brown at 740-698-2292.