Event Request Form

Contact Person: ___________________________ Phone number________________________

Email address: _______________________ TEUMC member_____________________________

Alternate Contact Person:___________________Phone number__________________________

Date of Event _________ Event Description: _________________________________________

Facility Use Beginning Time:   ________ (maximum set up time 1 hour prior to event)                 

Facility Use Ending Time: ___________ (maximum break down time 1 hour after event ending time)

One Time Event? _____Yes, _____ No If repeating, what is event format (i.e. 1st Mondays): ______________________________________________________________________________

If repeating, any dates event will not take place_______________________________________

Number of Participants expected: _______   (City of Houston Occupancy Permit will be enforced)               

Room Requested__________________________               

Technical Assistance needed: ___yes     ___no If yes, please indicate need:

                           Audio                                             Visual

      ____microphone(s) # of mics ____              ______DVD         

      ____ CDs                                                            ____Projector/Screen   

Room Arrangement Diagram :        

_____Auditorium style;        ___Table & Chairs

(please use x for chairs;  O for round tables; or  [___] for rectangle tables )

Number of Chairs ____    Number of Rectangle tables ___   Number of Round tables ____

Please indicate & print clearly where any other items, i.e. projector, screen, podium, etc., need to be placed.

                      Fellowship Hall – Stage is here;              Gym - basketball goal is here