Calvary Revival Church Chesapeake
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CHURCH BUILDING USE REQUEST FORM
Leader's Name (*)

Please type your Leader's Name.
Contact Phone Number

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Contact E-mail Address (*)

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(This info will be posted on the church website. Please give details you'd like available to any interested _ Purpose/Description of Event).

Purpose/Description Of Event

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Date (*)

Please include a date.
Recurrence Of Event


(Ex. Every Friday, Every 3 rd Saturday, etc or list the specific date of a one-time event)

Start Time

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End Time

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Room(s) Needed

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Leader in your ministry with a church key and authorized to use the alarm security. Person in ministry trained & authorized to use the A/V equipment?


Audio Support/Video Support

Will audio support be needed?

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If yes, what equipment is needed?

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Is there someone in your ministry trained and authorized to use the equipment?

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If yes, please list that person's name.

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If not, it is your responsibility to contact the head of the audio-visual department, arrange for someone to be at your event and list that person's name below. This person will be held responsible if there are any problems with the equipment. Please note: This form will not be accepted until this is done.


  

Dr. Carlton C. Mcleod, Senior Pastor
Calvary Revival Church (Chesapeake)
(757) 216-4112



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