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Resource Request Form
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CONTACT INFORMATION
First Name
*
Last Name
*
Phone Number
*
Email
*
RESERVATION INFORMATION
REQUESTING FOR WHICH ORGANIZATION?
*
Crossroads Church
Lima Christian School
RESERVATION TYPE
*
Reserve a Resource (Gym, Van, Classroom, etc.)
Personal Identification Number (Building Access)
Doors Unlocked for Event
Borrow Tables/Chairs etc.
Other (please specify what in \"Purpose\")
PURPOSE OF RESERVATION
What is the intended use of the requested item or area?
DATES & TIMES
BEGIN DATE
*
END DATE
BEGIN TIME (including set-up)
*
END TIME (including clean-up)
SPECIFIC REQUESTS
RESOURCES NEEDED
White Van (total 12)
White Van (total 15)
Gym
Large Kitchen By Gym
Field
Sanctuary
Fellowship Hall
Classroom
Conference Room
Library
8' rectangular table
Folding Chairs
Other
Mark all that apply.
IF CLASSROOM, WHICH ONE?
Give either the room number or teacher's name
IF FIELD, WHICH ONE?
North Field
Softball/Practice Field
IF TABLES OR CHAIRS, HOW MANY OF EACH?
Ex. 26 of 8' tables, 10 of 5' round tables, 285 chairs
BUILDING ACCESS
SELECT WHAT IS NEEDED
Doors unlocked.
PIN
None of the Above
WHICH DOORS?
Main Canopy Doors
South Doors by Sanctuary
Gym Doors
Northwest Doors by Soccer Field
TIME TO UNLOCK
TIME TO LOCK
RECURRING INFORMATION
DOES THIS EVENT REPEAT?
Yes
No
DAYS OF REPETITION
Sunday (No School Events)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What day of the week does this event repeat on?
FREQUENCY
Daily
Weekly
Bi-Weekly
Monthly
ADDITIONAL INFORMATION
ANYTHING ELSE WE SHOULD KNOW?
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