Facility Request Form

Facility and Event Request Form

Use this form to request

Date Submitted

Event Registration Contact Info

First Name

Mobile Number

Last Name

Email Address

Event Parameters

Event Title

Event Description

Are you the event facilitator?

Name of the Facilitator

Event Start Date

Event Start Time *

Tip: hh:mm am/pm

Event End Date

Event End Time

Tip: hh:mm am/pm

Does this event recur?

What is the frequency of the recurrence?

Does this event recur on a day of the week?

What day does the event recur?

Does this event have an admission fee?

Admission Fee

Tip: $99,999.99

Specify unit of admission

Is preregistration required?

Does this event require meeting a baseline enrollment target?

What is the baseline enrollment number for holding this event?

Does your event require UCSG marketing support?

Does your event require infant/toddler services?

How many infant/toddlers do you anticipate?

Set Up Parameters

Facility rates are based on two-hour event rentals (includes set up and tear down).

Room Requirements

Sanctuary Only - excludes use of piano and audio-visual systems

Sanctuary Plus - includes use of piano and audio-visual systems

Friendship Hall - seats 50 (combines Meeting Rooms 1, 2, & 3)

Meeting Room #1 - seats 8

Meeting Room #2 - seats 16

Meeting Room #3 - seats 26

Y.O.U. Room - seats 6

Unity Grounds

Other

Describe your requirements

Set Up Duration

Tear Down Duration

Peripheral Requirements

Podiums

Tip: Specify Quantity

Music Stands

Tip: Specify Quantity

Easel

Tip: Specify Quantity

Flip Charts

Tip: Specify Quantity

Are there other peripherals you require?

Other Peripherals

Audio Visual Media Requirements

AV Technicians

Audio Set Up and Support

Slideshow Set Up and Support

Video Streaming Set Up and Support

Audio Requirements

Live Musicians

Recorded Music

AV Equipment Needed

Wired Microphones Required

Tip: Specify quantity

Wireless Microphones Required

Tip: Specify quantity

Optional Equipment

Tables and Chairs

Target Capacity

Configuration

Preferred Table Type

Other description

Food and Beverage

Food and Beverage Requirements

Coffee & Tea

Pot Luck Meal

Catered Meal

Final Thoughts

Have we captured your requirements sufficiently?

Use this field to note any additional requirements or to report issues you experienced with this form.