1. Event Facility Request Form Event is NOT approved until PASTOR signature has been received. You will be notified regarding approval. Contact Person______________________________________ Phone________________Email_________________________ Name of Event________________________________________________________________________________________ Beginning Date____________________________________ Ending Date_______________________________________ Exclusion Dates_______________________________________________________________________ Day(s) of the week____________________________________ Start Time_______________ End Time________________ Setup Time_________________________ Tear-down Time______________________ 1 ( Office Use Only) Date Request Received _________________ 1. Event approval _______________________________ 2. Room approval _______________________________ 3. Technical approval ____________________________ 4. Kitchen approval ______________________________ 5. Childcare approval ____________________________ SIERRA BIBLE CHURCH 15171 Tuolumne Rd., Sonora, CA 209-532-1381 Fax: 209-532-2369 Contact debm@sierrabible.com SBC EventOff Campus Event Non-SBC Event… MUST provide Certificate of Additional Insured Publicity Request Form submitted to Communications Asst_____________ (d ate) Deposit Received Additional Insured Received Hold Harmless Received Advocate Assigned _____________________ Technicians List Given ROOM/AREA REQUEST Primary Room/Area Requested_________________________________________________________________________ Additional Rooms____________________________________________________________________________________ 2 TECHNICAL NEEDS Video Audio Podium Portable Sound System Microphone(s) (#_____) Recreational Sound System Need help with creating presentation_________________________ Notes_______________________________________________________________________________________________ Technician working event_______________________________________________________________________________ 3 Type of mic ____________________ No charge for use of the recreational sound system. Approved technician(s) must be secured before the use of the media systems can be confirmed. Additional charges for tech services may be required. Form rec’d.

2. OTHER ITEMS Large Bus Small Bus (2003) Small Bus (1997) Cargo Trailer Green Trailer Smoker Other ________________________ KITCHEN NEEDS Worship Center Kitchen Children’s Building Kitchen Specific Details: ______________________________________________________________________________________ ____________________________________________________________________________________________________ I have contacted the Kitchen Coordinator I have met with Coordinator and been trained 4 CHILDCARE I have spoken with Children’s Ministry Director and discussed the childcare needs Number of Children expected _______ Infant to 24 months _______ Preschool _______ Grades K-3 _______ Grades 4-6 5 FURNITURE NEEDS _______ Round Tables _______ 8 ft. Tables _______ 6 ft. Tables _______ Chairs Other_______________________________________________________________________________________________ ____________________________________________________________________________________________________ Setup_______________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________