Facility Use Request

Your Name*

Email*

Phone*

Which of these best describes you?*

Camellia Member

Non-Profit Organization

Other

What is your event?*

Who is it for?*

Begin Date*

Time*

Time

:HoursMinutes

Unlock Doors at:

Time

:HoursMinutes

End Date*

Time*

Time

:HoursMinutes

Lock Doors After:

Time

:HoursMinutes

Will you need additional time to set up for your event?

Yes

No

Date for Event Setup

Start Time:

Time

:HoursMinutes

End Time:

Time

:HoursMinutes

Which areas do you wish to reserve? (Select all that apply)*

Clayton Shaw Fellowship Hall & Kitchen

CLC Downstairs Classroom

CLC Fellowship Hall & Kitchen

CLC Gymnasium

Worship Center

Specific Room No. (If Applicable)

Do you need refrigerator space?*

Yes

No

Extra Details

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