Person Requesting Room:

Home Phone:

Cell/other phone:

Address:

E-mail Address:

Room Requesting:

Date of Event:

Day of the Week:

Time Requesting:

Event/Class name:

Estimated size of group:

Setup Requesting:

**If requesting Adult Rooms A&B, please indicate if you want the divider wall up or down. If you’re providing your own setup need, please write ‘none’ in the Setup space. If you’re requesting the room to be setup for you, please indicate how you would like the room setup: Classroom / Rounds / U-shape - if you want a specific number of chairs per table, you will need to indicate. Please note that set up is dependent.

Is the event a Grace Fellowship approved ministry?
Yes
No

If No: Is the room for a non-profit organization?
Yes
No

If No: Is the room use for a Christian Ministry?
Yes
No

If No: Do you regularly attend GF?
Yes
No

Is the event continuous?
Yes
No

End date (12 month max.):

If this is a continuous event, a schedule is required with the START and FINISH DATES and days you will NOT be meeting.

OTHER NEEDS:

(Portable Sound System, VCR Video Projector, CD Player, Overhead Projector)

Confirm by:

FAX this form to (763) 425-8896

For More Information: Rick Peterson
763-425-2246 ext. 231