Forms If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required Today's Date: * First Name: * Last Name: * Street address, City, State, & Zip * Primary Phone Number: * Secondary Phone Number: Email Address * Ministry Area: * All ChurchAY'sBaby DedicationsBenevolenceCapitol Hill KidsCapitol Hill MenCapitol Hill Student MinistriesDivorce CareGrief ShareHispanic MinistryThe MixMother's Day OutMPact Girls MinistryMusic MinistryOutreachRoyal Family Kid's CampRoyal RangersSinglesThrive Ladies MinistryWeddingsYoung Adults Other Ministry: Name of Event: * Start Date of Event: * End Date of Event: * The Event is: * One Time EventWeekly Monthly Day of Event: * MondayTuesdayWednesdayThursdayFridaySaturdaySundayNone Requested Start Time: * Requested End Time: * Place of Event (include details): * Approximate Cost of the Event: * Are funds needed? * YesNo Amount of funds requested: Total amount of funds expected from internal fundraising or other sources: Pastor(s) Officiating: Approximate number of people expected: * Nursery Needed? * YesNo Number of children expected: 01-55-1010-2020+ Older child care needed: * YesNo Number of children expected: 01-55-1010-2020+ Specific room needed: * NoneSanctuaryFellowship HallGymOther Rooms Other room needed: Event require rooms set up by staff? * YesNo Details of setup needs: Is a key needed for this event? * YesNo Check the specific doors that need to be open during the event: * NoneAll DoorsFront MainEast (Fellowship Hall)West (Classroom Wing)Southeast (Nursery Wing)Southwest (Choir Room Wing) Time doors need to be unlocked: Time doors need to be locked: Days of building access needed (check all that apply): * MondayTuesdayWednesdayThursdayFridaySaturdaySundayNone Bulletin announcement required? (Must be submitted at least 2 weeks prior to event) * YesNo Information for the bulletin: Video announcement required? (Must be submitted at least 2 weeks prior to event) * YesNo Do you need a sign up sheet for information center? * YesNo Sound tech required? * YesNo Church van required? (must be pre-aprroved) * YesNo Drivers Statement: For insurance liability purposes, all people desiring to drive a vehicle for Capitol Hill Assembly must be on the approved drivers list in the church office and must have an MVR background check conducted. Number of vans required: 123 Select which vehicle(s) you would like to reserve: Ford E-350 15 PassengerFord E-350 12 PassengerFord Transit-350 15 PassengerLarge TrailerSmall Trailer Destination: Destination address, city, state, and zip: Date of key pickup: Date of key return: Driver #1 Name: Driver #2 Name: Driver #3 Name: Driver #4 Name: Policy Agreement: (By typing your whole name, you certify that you will be the accountable person for the event listed above. In addition, you certify that you have read the church policies concerning church events, and you agree to comply with the policies listed on the Capitol Hill Assembly of God website concerning church events.