Name/Organization * Name of Contact Person * First Name Last Name Phone (###) ### #### Email * Freedom Center Church Member? * Yes No What Type of Event Are You Hosting? * Is There a Cost To Event Participants? Option 1 Option 2 Event Date * MM DD YYYY Event Start Time * Hour Minute Second AM PM Event End Time * Hour Minute Second AM PM Number Attending * One Time Event or Recurring? * One Time Recurring Type of Facility Reqested * Which building will you be needing? Will There Be Food? * Yes No Audio Visual Needs (Sound, Video, Power Points, Etc.) * Yes No The Event is Connected To: * Thank you!