Building Usage Request Form — Highland Gospel Community

Nature of Event

Organization/Individual Responsible

Contact Name

First Name

Last Name

Email

Phone Number

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Date(s) Needed

Room(s) Requested

Building Time Opened

Building Time Closed

Time Event Starts

Time Event Ends

Estimated Number Attending Event

Will You Be Providing Childcare?

If Yes, Number of Children Expected

Name of Childcare Supervisor

First Name

Last Name

Will Kitchen be Needed?

Do You Attend HGC

If Yes, For How Long

If No, Name of Current Church Attending

List Items Needed (table, chairs, equipment, etc)

Any Additional Information