Note: This form is for the use of members of Crossroads Community Church only

CCC
Building Usage and Activity Request

Date of request: 12/1/2008     Contact Person: (name & phone)
Name of Group:     Your E-mail:
Date of Activity: From:   To:         Number attending
Type of Activity: In-house Ongoing Beg date:
End date:
Outside Group One time  
Off-campus (where )
What is the Purpose of the Activity:
Start time of Activity:     End time:
Doors Open time:     Close time:

Crossroads Comm. Church

What buildings/rooms/areas are needed:

CLC Auditorium
CLC Rm 1
CLC Rm 2
CLC Library
Ed Building
ED1 ED7
ED2 ED8a
ED3 ED8b
ED4 ED9
ED5 ED10a
ED6 ED10b
Prayer Garden
Gazebo

Youth Building
Mobile 1
Mobile 2
Mobile 3
Mobile 4
Admin Building
AD 1 AD 2
AD 3 AD 4
AD 5 AD 6
 
Kitchen
Special Needs: (Ex. equipment, etc.)

Paper Products

Tables (size & #)
Chairs (#)
Media
TV / VCR / DVD
Portable overhead projector
Video Projection
Sound System/Theatrical Lighting Support
Be Specific in listing your sound and lighting needs below