First A.M.E. Church of Los Angeles
Request for Space/Facility Use


Event Information
Todays Date: Event Date:
Event Start Time: Event End Time:
Event Name: Expected # Persons:
Standing Request:    If Yes, Every:
Ministry:   Other Name (if not Ministry):
Requested Space:   Any Additional Spaces?

Extra garage parking needed?    

Media services requested (state type: audio/video)    

Microphones needed?      If Yes, what type? (Hand Held, etc.)

Tables (type/number): Chairs (Number):
Will Food be Served?    Security Needed?   Will organization/ministry pay for services? 

Requestor Information   ** Required Fields
** First Name: ** Last Name:
** Telephone: ** E-Mail:

Alternate Contact (Name and Telephone):

Additional Information:

OFFICE USE ONLY - Approved by:

By submitting this form, I acknowledge that I must adhere to campus closure times as stated by the church and that and that event/meeting dismissal and clean-up must occur prior to the stated time of closure.

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