Room Request Form

Name *

First Name

Last Name

Phone *

(###)

###

####

Date of Event or, if recurring, the First Meeting *

MM

DD

YYYY

For Recurring Meetings: Day(s) of Week

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

For Recurring Meetings: Week(s) of the month

First

Second

Third

Fourth

Last

Meeting start time *

Hour

Minute

Second

AM PM

Meeting set-up time *

Hour

Minute

Second

AM PM

Meeting end time *

Hour

Minute

Second

AM PM

For recurring meetings, the last meeting date:

MM

DD

YYYY

Room(s) Requested *

Fellowship Hall (whole room)

Fellowship Hall (lobby side)

Library

Lobby A (Tiled)

Lobby B (Carpet)

Lower Level 01

Lower Level 02-03

Lower Level 04

Sanctuary (Nave) - Director of Worship & Music will contact you after your submission to coordinate the use of the Sanctuary.

Nursery

Office Conference Room

Room 100 (whole room)

Room 100 A

Room 100 B

Room 101

Room 102

Room 106

Room 107

Room 108 (Senior High Room)

Please review the items below that we ask of all of our groups using Good Shepherd for meetings & events: *

Please notify us at office@goodshepherd.com if you don't plan to meet a particular week or your event get's canceled. If there's ever a time that we need to make a room change due to a funeral or other church event, we'll let you know by email or phone call. Please help us by only meeting in your assigned rooms, cleaning-up after your meeting or event, resetting the room to how you found it, and turning off lights after you are finished. A dumpster is located behind the building for garbage disposal. Note that Good Shepherd is an alcohol and tobacco-free campus. Please do not hesitate to contact us at office@goodshepherd.com if you notice anything was broken or needs to be addressed during your time at Good Shepherd.

I agree to the above and will let Good SHepherd know if I have questions.