If you only want to reserve a date on the church calendar, fill out the items marked by an asterisk*.
*Date Submitted: _____________________________________
*Sponsoring Group: _________________________________ *AOM Approval:____________
*Name of Contact Person:___________________________ *Phone No.: ___________________

Please mark the appropriate boxes for distribution to the designated ministry persons as follows: Custodian/Maintenance AOM Director  Administration   Audio/Visual  Bulletin Music  Newsletter   Nursery   Other ___________________________________

*Name of event: ______________________________________________________________________
*Date of event:_____________________________ Day of the week:___________________________
  Room(s) needed: ______________________________________________________________________
  Set up date:____________________________________ Beginning time of event: __________________
  Set up time:___________________________________ Ending time of event:______________________
YOU ARE RESPONSIBILE FOR SETUP AND CLEANUP. ROOM(S) SHOULD BE RETURNED TO DESIGNATED ARRANGEMENT.
Name of person responsible to lock up facilities: _____________________________________________
All events must conclude by 10 p.m.                No alcoholic beverages permitted.
Check all the following items that will be needed.
Nursery Children 5 years and under only. 
Music Leader for:  Praise and Worship Offertory Communion
     Transparencies     Instrumentalists       Other  _________________________
Sound/Audio Visual Equipment
     CD Player                  Tape Recorder/Player Overhead Projector    TV/VCR
     Video Recorder           Video Projector
     Microphone(s):  How many? ______     Sound Speaker(s):  How many? ______
     Karaoke Machine         Record this event:  Video  Sound
Support Equipment
     Chairs:  How many? ______     Tables:  How many? _____ White Board    Podium  
      Extension Cords:  How many? ______   Flip Chart:  How many? ______
     Other (describe)______________________________________

Complete all items pertaining to the event (unless reserving only the date). Incomplete forms will be returned. Before submitting the Blue Form, it must be approved by the AOM director. Return it to the church secretary. This must be done no later than two (2) weeks prior to the event. If there are no conflicting events in the church schedule, the Blue Form will be presented at the soonest Thursday staff meeting for final approval. If you have any changes, contact the church secretary immediately. Changes must be approved again by the staff.