Facilities Request Form

    Your Name

    Your Email

    Group Name


    Expected Number of People

    Date(s) Requested

    Start Time

    End Time

    Room(s)/ Area(s) Requested

    A/V or IT Requirements

    Smart TVProjectorMicrophoneFull AV system in Worship CenterNone

    Event Contact Person


    Cell Phone

    I certify that I have read the summary of CPC Facilities and
    Equipment Use Policies and that they will be followed.