Family Life Center Rental Application

Today's Date

Name of Person or Organization Requesting Facility:

Phone:

Email:

Facilities Requested

Gymnasium

Classrooms

Pavilion

Entire Family Life Center Facility

Event or Activity Type

Date Needed

Set up Time

Event Start Time

Event End Time

Will Decorations Be Used? *Note: Glitter, confetti, and helium balloons are not permitted

Yes

No

Kitchen Facilities Needed?

Yes

No

Audio Equipment Needed?

Yes, All audio/visual equipment needed.

No audio/visual equipment needed.

Microphone only.

Screen and projector only.

Podium only.

Combination not listed.

Number of Tables? *Tables are round banquet tables and seat 8 people

Number of Chairs?

Pavilion Acknowledgement

Yes, I acknowledge that the Pavilion has no restoroom and the restrooms inside the Family Life Center will be used.