PHONE: ... Meeting/Seminar. Memorial Service. Concert/Recital. Special Program. Reception ... *There is no fee for wired
FACILITIES REQUEST FORM
FOR IPC OFFICE USE ONLY
(All Requests Pending Confirmation)
CONFIRMED
On Master Calendar
Ongoing Events September 2015 - August 2016
Fees Due
Irvine Presbyterian Church 4445 Alton Parkway Irvine, CA 92604 Tel: (949) 786-9627 Fax: (949) 786-4312 Email:
[email protected]
Fees Paid Sound Technician
EVENT NAME: ______________________________________________________________________________________ CONTACT: _________________________________________________________________________________________ STREET/CITY/ZIP ADDRESS: _________________________________________________________________________ EMAIL: ________________________________________________ PHONE: ____________________________________ ONGOING EVENT INFORMATION: This form is for 4 or more bookings of the same event. STARTING DATE__________________________________ ENDING DATE _________________________________
DAY OF THE WEEK_________________ FREQUENCY (Weekly, 1st Tuesday, Etc.) _________________________
DATES NOT MEETING _____________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________
PROGRAM START TIME _________________________ PROGRAM END TIME ____________________________ If facility is needed before or after the event start time, please indicate: SETUP START TIME ____________________________
TEARDOWN END TIME _____________________________
FACILITY REQUESTED: JHEEC Classroom(s): Sanctuary/Prayer Alcove Patio Choir Room (A-014) Fellowship Hall (No A/C) Fireside Alcove (No A/C) Kitchen FH
Youth Lounge Youth Lounge Patio
Jack Davis Room Nursery (C-104)
The Basement Basement Mtg. Room Admin. Conf. Room
Basketball Court Playground Other: ________________________
8/26/2015 Documents/Scheduling/Forms/Facility Req Form Ongoing
CHILD CARE PROVIDED (IPC Groups Only): ! No ! Yes (copy to Children’s Ministries Director) Child Care request forms must be completed and submitted to Lauren Knips, the Children’s Ministries Director, no later than 4 weeks prior to the event. NUMBER OF ATTENDEES: __________ TYPE OF FUNCTION: Meeting/Seminar Special Program Other (Please Describe):
Memorial Service Reception
Concert/Recital Rehearsal
SET-UP INFORMATION: Please indicate who is responsible for Set-up: Normal Room Set-up (the room will be used as is) Group Doing Set-up and Clean-up *The group is responsible for set up of all tables and chairs and for leaving room as found, including vacuuming.
Custodial Set-up
Fee: $_________
*The fee charged is dependent upon the room and group’s needs. No fees for IPC ministry groups.
Describe Requested Set-Up (floor plans available if needed): _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
MEDIA AND SOUND: Do you need a Sound Technician?
! No
! Yes
Fee: $_________ (copy to Worship Coordinator)
* $150.00 for 1st 4 hours, $25/hour thereafter
Do you need amplified sound? *There is no fee for wired microphones; other fees may apply
Do you need other services?
Wired Mic(s) #:____ Instrumental Mic(s) #:____ Other (Please Describe):
Wireless Mic(s) #:____ Playing Recorded Music
Podium VCR Other (Please Describe):
DVD Projector
As a representative for the organization making this facilities request, I agree to abide by all rules and regulations set by Irvine Presbyterian Church governing and/or restricting the use of its facilities. I further agree to pay all fees associated with this request at least 3 weeks prior to the event and to be responsible for any damage done to church property as a result of this event. IPC is a non-smoking facility and the consumption of alcoholic beverages is not permitted.
_______________________________________________________ SIGNATURE 8/26/2015 Documents/Scheduling/Forms/Facility Req Form Ongoing
__________________________________________ DATE
FACILITY USE INFORMATION: 1. KITCHEN The kitchen areas must be left clean, dishes washed and put away, countertops wiped off and all items returned to their appropriate place. If the coffee brewer is used it is to be cleaned out (please rinse out the coffee boxes and grounds area after use) and wiped off. 2. HOURS OF USE Monday through Friday the custodian closes the premises at 9:30 PM. On Sundays, the facility closes at 4:00 PM. The buildings are to be vacated by that hour. 3. NO OPEN CANDLE FLAME is permitted in any building unless approved by the Director of Operations. 4. SANCTUARY CHANCEL FLOOR No activities or equipment permitted on wood chancel floor in sanctuary that could potentially damage delicate finish or wood base. 5. TICKET SALES ARE PROHIBITED, however, donations can be accepted. 6. ROOM CONDITION Church facilities should be left as originally found after the event. The group signing up for any room must accept the responsibility of picking up all items brought to the room by that group and leaving all tables and chairs clean. Groups doing their own set-up and clean-up, are responsible for vacuuming, cleaning up spills and taking out the trash, etc. The Custodial Closets in JHEEC (by 1st floor girls restroom and by 2nd floor Jack Davis Room) are stocked with a vacuum, a bucket and rags, cleaning supplies and trash bags. The Custodial Closet in Fellowship Hall (in storeroom off of the lobby) also has a vacuum.
8/26/2015 Documents/Scheduling/Forms/Facility Req Form Ongoing
