Facilities Use Request Form

Name*

First Last

Name of Organization*

Email*

Best phone number to reach you.*

Proposed Event*

Purpose of Event*

Is music a significant component of this event?

Yes
No

Please describe.

For a one-time event, enter requested date here.

For multiple-date events, please describe date requests below.

Enter start of set-up time (if needed).

: HH

MM

Enter event start time.*

: HH

MM

Enter event end time.*

: HH

MM

Enter expected event clean-up end time (if needed).

: HH

MM

Enter expected number of attendees.*

Please enter a value greater than or equal to 1.

Room(s)/Facilities Requested: Please select all that apply.*

Sanctuary (450 people max.)
Chapel (150 people max.)
Smith Hall fellowship hall (300 max. meeting; 150 max. banquet)
Kitchen
Westcott Meeting/Reception Room (50 people max.)
Seminar Room (20 people max.)
Manse Library (30 people max.)
Room B (8 people max.)
Room D (8 people max.)

Equipment Requested. Select all that apply.

Name of Second Presbyterian Member Sponsor

First Last

Is a certificate of insurance available?*

Yes
No

I have read the guidelines for use of Second Presbyterian Church facilities, and that the use of these facilities will be in accordance with this application. I or the officially-designated representative of the requesting organization further accepts responsibility for damage to church property caused by such use and for prompt and proper settlement of claims for such damage.*

Yes

Second Presbyterian Facilities Use Request Form