Messiah Lutheran Church Facility Use Request

Contact Information

First Name

Last Name

Phone Number

Email

Are you a member of Messiah Lutheran Church?

Yes

No

This request is for:

A personal/private activity

A group/ministry/event sponsored by Messiah Lutheran Church

An external group/business

Organization Information

Organization Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Website

Organization Purpose/Mission

EIN #

Group/Ministry/Event Name

Facility Use Details

Request is for

Single use only

Weekly

Monthly

Other

Date Requested

Start Date

End Date

Explain repeat/recurring use

Arrival/Setup Time

Event Start/End Time

Cleanup/Leave Time

Number Attending (estimate)

Please explain which area(s) you would like to use

Briefly describe your activity

Will you need a certain number or type of tables and chairs for the event other than what is provided in the requested room?

Yes

No

Please explain how many chairs/tables will be needed and what kind. Please note: Setup and reset of room is the responsibility of the requesting individual / group / organization.

Will the event require access to the internet, projection equipment, or other audio visual equipment?

Yes

No

Please explain.

Will food or beverages be served or consumed as part of the event?

Yes

No

Do you plan to use any kitchen equipment (coffee pots, microwaves, refrigerator, etc.)?

Yes

No

Please explain which equipment you plan to use.

Will the activity involve the collection of money from those who participate in the event?

Yes

No

How will money be collected? (Check all that apply)

Through Sale/Auction of Items

Free Will Donation

Tickets or Set Fees

Is this a fundraiser for an MLC ministry?

Yes

No

Ministry Name

Ministry dedicated fund account number (if possible)

How will the money be used?

Will alcohol be served at the event?

Yes

No

All non-member groups, or groups that will include participants under the age of 21, must obtain MLC Council approval to serve alcohol.

Hard liquor is not permitted.
Events serving alcohol must also have non-alcoholic beverages available.
Event sponsors are responsible for ensuring:
- No accidental or deliberate consumption/possession of alcohol by

individuals under the age of 21; Intoxicated persons are not served. Groups hosting events that will involve the sale of alcohol agree to follow all City of Huntsville, Madison County, and State of Alabama ordinances regarding special event permits and alcohol permits. Alcohol may only be stored on church property during the setup and event time, and
must be removed at the conclusion of the event.

Alcohol Policy Acknowledgment

Do you have any other information to provide related to your request?