Church of the Chimes - CotC Community

Facility Request Form

Requestor Information

First Name
Last Name
E-mail Address
Phone #

Type of Event

Class or Meeting (Kerygma, Uniquely You, Alpha, Bible Study, Finding Your Way, consistory etc.)
Describe:
Group (Men's/Women's small groups, Helping Hands, Neighborhood Bible Study, etc.)
Describe:
Special Event (wedding, memorial service, fundraiser, dinner, musical concert etc.)
Describe:

CotC Affiliation (Please check the appropriate box that clarifies whether or not your event is sponsored by a ministry of CotC)

Yes (Alpha, Heart to Heart, Student ministry etc.)
No (AA Meetings, Election events, wedding, memorial service)

Communication Details

Dates/Times (if applicable)	If applicable, enter the date and time for your event.
Location (if applicable)	If applicable, enter the location of your event (for example: room number, building name, or off-site address.) Note: If your event is on the church campus don't forget to submit a separate "Facilities Use Request" using this form.
Describe Location
# of People
Who to contact (if applicable)	Enter the name, phone number and/or email address for the person who should be contacted regarding more information about this communication or event.

* Note: Please wait for a confirmation of your date & location before completing the event request form to promote your event.