Facility Request Form

Please choose YOUR membership type, or your groups membership type, in relation to Gashland EPC*
- Member
- Non-Member
- Non-Profit Organization
Contact Information
Group/Organization Name
Your First & Last Name*
First Last
Email*
Contact Phone 1*
Best phone number to reach you on the day of your event.
Contact Phone 2
Mailing Address*
Street Address City State ZIP Code
Please provide the name and contact information for the person responsible during the actual event.
Name (If Different From Above)
First Last
Best Day of Contact Phone Number (If Different From Above)

Renters Drivers License
A driver's license is required to complete your reservation.
Are you able to upload a picture/scan of your driver's license now?
Upload Scan of Drivers License Copy
Max. file size: 512 MB.
If you are unable to upload a copy, we need to make a copy at the time you come in to complete your reservation.

Event Times & Dates
Desired Date of Event or Meeting*
Month
Day
Year
Desired Time to Enter Building for Set Up*

: Hours

Minutes

AM/PM
Time Event Begins*

: Hours

Minutes

AM/PM
Time Event Ends*

: Hours

Minutes

AM/PM
Time You Will Be Exiting Building (Allow for Yourself Plenty of Clean Up Time from the Time Your Event Ends.)*

: Hours

Minutes

AM/PM
Total the hours you will be in the building from Set Up to Clean Up*
This is the number of hours you will be charged for when booking a room. Please enter this number into the Number of Hours Requested box under each room you request use of.
Event Details
Estimated Number of Individuals Attending Event/Group Meeting*
Please enter a number from 1 to 350.
Fire Dept. Occupancy Load Disclaimer While the fire department requires us to display the following occupancy loads: Sanctuary-275; Chapel-8; Holy Grounds Cafe-80; Fellowship Hall-288; Ministry Center- 932; please know that we are only able to accommodate the seating capabilities listed earlier in the form.
Event Details*
Please provide us with some event details. How many tables/chairs you will need, if you are seating banquet style or theatre, If you will be serving food, doing arts & crafts, setting up props, types of activities you will be doing, etc.

Security Deposit
Members, Non-Members, and Non-Profits are required to provide a security deposit.
Have you asked to use the Ministry Center, Fellowship Hall, or Sanctuary for your event?
- Yes
- No
Security Deposit*
- $50.00
Security Deposit*
- $250.00
Security Deposit*
- $250.00

Facility Use Policies
Please read and review our facility use policies below and sign in agreement before going to the next page.
I have read the above policies & agree*
- Yes
I, the responsible party, have read all of the Facility Use Policies listed herein and have reviewed the pricing for Facility Use. I agree to comply with the policies and pricing set forth by Gashland Evangelical Presbyterian Church regarding the use of the church facilities for our event or group. I, the undersigned, take full responsibility for any damage and/or breakage of church property and equipment during my use of the facilities and understand my deposit may be forfeit, or my event may be cancelled if damage, breakage, or any violation of GEPC's Facility Use Policy takes place.
By checking this box, you are promising the above.

Contact Information