Judah Christian Center
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Facility Use Request Form
Your Name
(required)
Your Ministry/Group Name
(required)
Your Address
(required)
Email Address
(required)
Contact Phone Number
(required)
Date of Event
(required)
Total Number of Days
(required)
Time(s) of Event
(required)
End Time (what time will your event end)
(required)
Are you a JCC Ministry or Member?
(required)
Yes
No
If you are a JCC Ministry or Member, please explain the nature of your "special request"
If yes, when is your regularly scheduled meeting time? (JCC Ministries only)
If you are NOT a JCC Ministry, please tell us a little about your ministry (i.e., Pastor, covering, purpose of event, etc.)
(required)
Ticket/Registration Cost (if any)
(required)
What additional items will you need? (Access to Sanctuary, Sound Equipment, Restooms, MPR are standard)
(required)
A Sound Technician (add'l $150.00)
Time Extension ($50 per hour; beyond 3 hr. timeblocks)
Security (add'l $100)
Special Set Up (Explain Below)
Clean Up/Reset
Do You Have a Clean-Up/Reset Committee
(required)
Yes
No
Please explain your special needs. For example, is there a special set up of the sanctuary that you need? How many tables do you need? Where? etc.
(required)
