Christ Temple

Your Name*

Address*

City*

State*

Zip*

Your Phone No 1*

Your Phone No 2

Email*

Are you a member of this church?

Yes | No

What is the name of the event that you want to hold at the church?

Explain the purpose of the event*

Who will be attending?*

How many people will be attending? *

What room(s) are you requesting? *

Proposed Event Date*

Proposed Event Time*

Start time

End time

Will security be required?

Yes | No

Will ushers be required?

Yes | No

Will audio engineers be required?

Yes | No

Will greeters be required?

Yes | No

Will tables be required?

Yes | No

how many?*

Is there anything else you are requesting for your event?*