Amity Campus Facility Use Request (for outside group events) • Cathedral of the Rockies Church Database

For outside group events...

WHO IS THE CONTACT?

First Name *

Last Name *

Email Address

Phone Number

Mobile Number

Group You Represent

Mailing Address

Mailing City

Mailing State

Mailing Zip Code

WHAT'S THE EVENT?

Event Title *

Event Description *

Tip: We may edit your description before we publish it.

WHEN IS IT?

Start Date *

Start Time *

End Date *

End Time *

Set-up Time (before event begins)

Clean-up Time (after event ends)

WHERE IS IT?

Our staff will help you choose a room. However, if you know which room you would prefer, please list it below. In addition, we generally do not change the set-up of rooms. If you have special needs, please list them.

Room Preference

Set-up Special Needs

Technical Needs

Audio (mic, DVD, music, etc.)

Graphics on screen (Powerpoint, Keynote, etc.)

Agreement

By submitting this form, I agree to the following: