::: Welcome To Brookside :: pursuing Christ together :::

Facility Request Form

If you desire to use a room or rooms at Brookside for an event, please fill out the form below. Submitting this form does not guarantee you use of the facility, you must await approval from the church office to be assured that a room/rooms have been reserved for you. If you have questions or concerns, please contact the church office at 485.9665.

By submitting this form, I understand that I am sending a request to the Brookside Church office for use of the facility. Submitting this form does not guarantee that my request can be fulfilled.

Name of Event:
Organization /Individual Responsible for Event:
Contact Person's Name, Phone Number(s),and Email Address:

Billing Address:

Date(s) Needed:

Room / Rooms Requested:
Building Opened At What Time:
Building Closed At What Time:
Time Event Starts:
Time Event Ends:
Estimated Number in Attendance:
Will You be Providing Childcare:	Yes No
If Yes, How Many Children do you Expect:
Name of Childcare Supervisor:
Will Kitchen Be Needed	Yes No
List Items Needs (tables, chairs, equipment, etc.)

Any Additional Information: