Building Use - RC Member • The River Center

First Name *

Last Name *

Mailing Address *

Mailing City *

Mailing State *

Mailing Zip Code *

Phone Number *

Email Address *

Event name *

Who will this event be honoring? *

Date of Event Start *

Date of EventEend *

Event's Time Frame *

Estimated Attendance *

Attendee Ages

Adult

0-12

13-18

Type of Activity *

Personal

Ministry

Rooms Needed (Youth Room and RiverKids rooms must have prior approval) *

You must get permission for Youth/RiverKids rooms prior to applying. From whom did you get permission? *

Shaerilyn Stoneman

Brant Rogers

Opening and Locking the Building *

I have keys for this event.

I need to check out keys for this event.

Event Attendant *

I need an Event Attendant (Additional Fee Required)

I don't need an Event Attendant

Tables and Equipment *

If requesting tables, please list the quantity of each type needed.

Do you need additional day(s) to set up for this event? *

yes

no

If extra days are needed, please specify dates.

Notes (Office Use Only)