NCC Facility Request Form

 

Your Name (required)

Today's Date (required)

Your Email (required)

Ministry

Reason for Request

First Choice
Adult Ed--SmallAdult Ed--LargeCafeCafe & StreetConference RoomNurseryChildrens--PreschoolChildrens--1st-2ndChildrens--3rd-5thGymYouth--High SchoolYouth--Middle SchoolYouth--Room off GymSanctuaryKitchenEspresso Bar

Second Choice
Adult Ed--SmallAdult Ed--LargeCafeCafe & StreetConference RoomNurseryChildrens--PreschoolChildrens--1st-2ndChildrens--3rd-5thGymYouth--High SchoolYouth--Middle SchoolYouth--Room off GymSanctuaryKitchenEspresso Bar

Date Needed

Time Needed

Hours Needed

Approximate Group Size

Is this a one time event?
YesNo

If NO, how often?

Daily for ____ day(s)

Weekly for ____ week(s)

Monthly for ____ months(s)

Special Needs?
YesNo

If yes, please explain