Room Request Form If you are human, leave this field blank.Room Request Form InstructionsPlease complete and submit the following form. Your request will be reviewed by the Knox Office as soon as possible. We will contact you to confirm your request or to alert you to any conflicts. If you have additional questions regarding room requests contact Verna Hinman, Office Manager, 734-761-5669 x204. Group and Requester InformationName of group *Organization or Ministry nameOn-site contact person *Contact must be 18 years of age or older.Contact's cell phone *Required in case of emergencyContact's email * Event/ Program InformationName of Event/Program(First) Meeting Date *Please let us know your start / single occurrence date Frequency of event: *Once (please confirm your date in the field below)WeeklyMonthlyOtherDate of single eventWeekly, Starting DateWeekly, Ending DateWeekly, list any date exceptionsMonthly, Start dateMonthly, End dateMonthly, list any date exceptionsOtherPlease list dates requested, (e.g. 1/12/2016) People AttendingApproximate number of people attending: *Will refreshments be served? *YesNoRefreshments to be served:Please avoid red and/or purple dye (e.g. red pop) Requested Room(s)Please indicate requested room(s) and times. It’s important to include set-up and tear-down time, (e.g. if your event starts at 2:00 PM and you need half an hour to set up, please select 1:30 PM as your start time). CheckboxWorship Center, start timeWorship Center, end timeKnox Hall, start timeKnox Hall, end timeHess Hospitality, start timeHess Hospitality, end timeNewton's Nook, start timeNewton's Nook, end timeKitchen, start timeKitchen, end timeHave you received kitchen training?We now have a commercial kitchen; users must receive training from our kitchen manager. If you select "no" below, we will contact you to arrange training.YesNoMusic Room, start timeMusic Room, end timeNursery, start timeNursery, end timeToddler I, start timeToddler I, end timeToddler II, start timeToddler II, end timeToddler III, start timeToddler III, end timeWould you like to reserve another Upper Level Room?YesNoUpper Level RoomsWorship CenterKnox HallHess Hospitality (#218)Newton’s NookKitchenMusic RoomNursery (#208)Toddler I (#214)Toddler II (#216)Toddler III (#217)Worship Center, start timeWorship Center, end timeKnox Hall, start timeKnox Hall, end timeHess Hospitality, start timeHess Hospitality, end timeNewton's Nook, start timeNewton's Nook, end timeKitchen, start timeKitchen, end timeHave you received kitchen training?We now have a commercial kitchen; users must receive training from our kitchen manager. If you select "no" below, we will contact you to arrange training.YesNoMusic Room, start timeMusic Room, end timeNursery, start timeNursery, end timeToddler I, start timeToddler I, end timeToddler II, start timeToddler II, end timeToddler III, start timeToddler III, end timeWould you like to reserve another Upper Level Room?YesNoPlease list additional room requests below. Include the room, date, time, and other pertinent information.Lower Level RoomsPre-K/Kindergarten (#116/117)1st/2nd grade (#103/104)3rd/4th grade (#114/115)Gathering Place (#121)Harvest Room (#122/123)NorthStar Room (#124/125)Meadowview Room (#129/130)Garden Room (#131/132)Lighthouse (#105/106)Turning Point (107/108)Pre-K/Kindergarten room, start timePre-K/Kindergarten room, end time1st/2nd grade room, start time1st/2nd grade room, end time3rd/4th grade room, start time3rd/4th grade room, end timeGathering Place room, start timeGathering Place room, end timeHarvest Room, start timeHarvest Room, end timeNorthStar Room, start timeNorthStar Room, end timeMeadowview Room, start timeMeadowview Room, end timeGarden Room, start timeGarden Room, end timeLighthouse Room, start timeLighthouse Room, end timeTurning Point, start timeTurning Point, end timeWould you like to reserve another Lower Level Room?YesNoLower Level RoomsPre-K/Kindergarten (#116/117)1st/2nd grade (#103/104)3rd/4th grade (#114/115)Gathering Place (#121)Harvest Room (#122/123)NorthStar Room (#124/125)Meadowview Room (#129/130)Garden Room (#131/132)Lighthouse (#105/106)Turning Point (107/108)Pre-K/Kindergarten room, start timePre-K/Kindergarten room, end time1st/2nd grade room, start time1st/2nd grade room, end time3rd/4th grade room, start time3rd/4th grade room, end timeGathering Place room, start timeGathering Place room, end timeHarvest Room, start timeHarvest Room, end timeNorthStar Room, start timeNorthStar Room, end timeMeadowview Room, start timeMeadowview Room, end timeGarden Room, start timeGarden Room, end timeLighthouse Room, start timeLighthouse Room, end timeTurning Point, start timeTurning Point, end timeWould you like to reserve another Lower Level Room?YesNoPlease list additional room requests below. Include the room, date, time, and other pertinent information. Parking LotsTypically all event/program parking occurs in the lower level lot. If your group requires the upper lot, please let us know below: Audio/Visual EquipmentIs Audio/Visual equipment required?e.g. Do you need a DVD player?YesNoOur group would like to:Please select below what you need to do with the AV equipment.play a DVDplay a VHS tapeuse a microphone during the presentationuse a laptop during the presentationHave you received training on our AV equipment?Please let us know if you have been trained. If you have not, we will arrange a time for you.YesNo Additional InformationAdditional information and special requirements:Captcha *reCAPTCHA is required.Submit
