Facility Request Form

Please use this simple form to let us know what facilities you will need to reserve. Items marked with an asterisk (*) are required.

NOTE:Please remember that a submitted request is not a guarantee that we will be able to fulfill your request. Your event is not confirmed until you receive correspondence from our staff letting you know that it has been added to our calendar.

Contact Information

First Name*
Last Name*
Organization
Address
City
State
Zip
Phone*
E-Mail*

Event Information

Do you regularly Attend Park West Church?

Yes No

What type of event are you planning?

Event Name*

Estimated Attendees*

Event Dates*

From To

Event Type

One Time Recurring

Event Times*

From To

I need time to setup / decorate

Yes No

I need time to cleanup

Yes No

Please select which rooms/areas you are needing to reserve

Special Needs

List the quantity of items in the space provided. All requested items will be provided in the space reserved. Please list any set-up instructions in the additional comment area below.

Chairs
6' Tables
Cafe Tables
Directional Signs
Directional Signs - Message(s)
Directional Signs - Location(s)
Podium
Stool
White Board
Coffee Maker Setup
I need use of the refrigerator	Date: Time:

Audio/Visual Needs

Podium
Large Video Screen
Video Projector
TV
VCR
DVD
Sound System
Requested A/V training for:

Transportation Needs

White Van
Gray Van

Staff Needs

Computer Tech
Sound Tech

Pastoral Sponsor

Department

Childcare Needs


Number of Workers
Number of Children

Additional Comments

Privacy Notice: We do not share any personal information with any parties who, to our knowledge, might try to engage you in commercial activity. We DO reserve the right to publish, when it's appropriate, your name, email address, and/or phone number in our online event calendar so that people interested in your event can contact you directly.
I agree to the Facility Terms of Use.