Facility Use Application Form - Haven Community Church

Phone number *

Best way to contact you *

Address *

Are you a member of Haven Community Church? *

Event Details

Event Description *

Please briefly describe the event

Approximate number of people attending the event *

Start Date *

Please enter the date you wish to begin using the facility

Start Time *

Please enter the time you wish to begin using the facility

End Date *

Please enter the date you will quit using the facility

End Time *

Please enter the time you will be finished using the facility

Facility Space Required

Please list all rooms and resources you will require.

Rooms Requested *

Please check all spaces you require.

Auditorium (Size-48'x54'; $100/day)

Cafe (Size-12'x16')

Large Classroom (Cafe side; Size-12'x26'; $25/day)

Small Classroom (Cafe side; Size-12'x12'; $25/day)

Infant Care Room (Lobby side; Size-12'x11'; $15/day)

Lobby (Size-12'x16')

Large Classroom (Lobby side; Size-12'x13'; $25/day)

Small Classroom (Lobby side; Size-12'x12'; $25/day)

Resources Requested *

Please check all resources you require. Only trained and approved people may operate the equipment.

Please select NONE if you don't require any resources, other than house lighting.

Sound System ($15/day)

Video Projection ($25/day)

Audio Recording ($25/day)

Video Recording ($50/day)

Live Streaming ($50/day)

Stage & House Lighting ($25/day)

HD TV Projection ($15/day)

None

Custodial Services *

Please select NONE if you will setup and cleanup and restore room to original layout.

Setup ($50)

Cleanup ($50)

None

Additional Information

Include any information here that may be helpful to our Facilities Team. Please email any layout diagrams, photos, etc. to trustees@havencc.org.

I have read and agree to the facility use policy, guidelines, and terms of use. *

By checking yes, you are agreeing to abide by all terms and conditions described above, including indemnification of Haven Community Church.