Page 71 | Medicine Hat Family Church

Building Use Request Form

Please fill out the following form to request to use a space at Family Church.

*Attention: Department Leaders - This form is not necessary for already authorized regular use for your department, but it may be used if your department would like to use a space apart from your regular schedule or designated area.

Name (Required)

Email Address (Required)

Your Phone Number (Required)

What event are you looking to use the church for? (Required)

Provide some quick details about the event. Date and time will be asked later. (Required)

Please provide the primary contact person for the event.

Please provide name, phone number and email address or you will be considered the primary contact.

Will the church be required for more than one day? (Required)

(including set-up and clean-up)

What is the start date of your event? (Required)

(the first date you will need access to the church for this event)

What is the end date of your event? (Required)

(the last date you will need access to the church for this event)

What is the start time of your event? (Required)

Please include the time will you need access to the church for set-up, etc.

What time will you be finished at the church? (Required)

Please include sufficient time to return the facility to pre-use condition.

Which areas of the church will you need? (Required)

Check all that apply.

Worship Centre

Fellowship Hall

Prayer Room

Kitchen/Coffee Shop

Youth Room

Nursery

Children’s Church

Regarding cleaning and restoring the church to pre-use state: (Required)

The primary contact will be responsible to ensure the church is cleaned and restored.

Yes, I can commit to cleaning after the event

Yes, but I will need direction to cleaning equipment/supplies

Yes, but I have other concerns

No, I cannot commit to cleaning

Special requests - do you need help with anything specific? (Required)

(sound and tech, tables and chairs, etc)

Are there any other details we should know about? (Required)

Solve 8 + 1 = ?

Medicine Hat Family Church

534 - 18 Street SW
Medicine Hat, AB T1A 8A7

contact@familychurch.ca

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