Facilities Request

Event Name *

Which Building(s)

WCI (minimum 300 people)

WCII (minimum 75 people)

Ed Bldg I

Ed Bldg II

Ed Bldg III

Ed Bldg IV

Ed Bldg V

For Date and Time *

MM / DD / YYYY HH : MM AM/PM

End Time

HH : MM AM/PM

Please make sure your event is over by 8:30 p.m., and everyone needs to be out of the building.

On Saturday, your event will need to be over by 5:00 p.m. The building must be reset, cleaned and ready for Sunday use by 5:00 a.m. Please make sure you get ALL of your material off the premises by that time.

If you need additional days, please list the dates MM/DD/YYYY and the start and stop times (indicate am or pm)

Contact Person *

First Last

Phone Number *

### - ### - ####

Email *

Video

Will your event require video?

Yes

No

If yes, the video must be delivered to the church office 3 days prior to the event. On the line below, please indicate the type of video you will be using (MP4, AVI, DVD, etc.)

Video type:

Does your video have sound?

Yes

No

Computer

Will your event require the need for a computer to display:

Power Points

Song Lyrics

Other (please indicate below)

Other computer need:

Please note: All songs, lyrics, power points displays will all request approval from our media ministry. Therefore they must be delivered to the church office 3 days prior.

Sound

Will your event require a sound system?

No

Yes, for sound

Yes, for singing

Yes, for audio presentation

If you checked any of the yes boxes above, please fill out the explanation box below indicating exactly what you are needing.

Explanation of Sound Needs:

Lighting

Will your event require any special lighting needs?

Yes

No

If yes, please explain in the box below.

Explanation of Lighting Needs:

Set-Up

How many people are you expecting?

Do you need chairs?

Yes

No

Do you need tables?

Please indicate round or long.

Miscellaneous Information

Please add any additional comments here.

Building Reset and Clean-Up

The person who is submitting the form is responsible for resetting the building according to a layout that will be given to them. The group is also responsible for all cleanup (including vacuuming, taking out the trash, bathrooms, etc). If your group wishes to have the church be responsible for the reset and clean-up, a fee will be determined at the time your request is accepted.

Building reset and clean-up

I will be responsible for reset and cleanup

I decline and will pay for the reset and cleanup

Building Security

Who will be responsible for unlocking, locking and alarming the building?

Please indicate the name of the staff member responsible. This person must have a key and alarm code.

Thank you for your request.

Please note, this is just a request. After you hit submit, you will receive an email letting you know we have received your request. Another email will be sent when your event has been approved.

Hibernia Baptist Church is a smoke-free and alcohol-free campus. By submitting this form you are agreeing to this clause and will ensure that your event is smoke and alcohol free.

Facilities Request - Hibernia Events