First Name

Last Name

Country

City

State

Phone Number

Email

Date Requested

Time You Need Access

Time You Will Be Finished

For What Purpose Would You Be Using The Facilities?

Please Check All Areas Of The Facility To Which You Are Requesting Access
Sanctuary
Foyer
Kitchen
Room Beside Kitchen
Kids Ministry Rooms
Fenced In Area Outside

Please Check All Amenities Being Requested
Sound System (Sanctuary Only)(Requires Victory House Trained Tech)
Media Computer (Sanctuary Only)(Requires Victory House Trained Tech)
Stage (Sanctuary Only)(Requires Victory House Trained Tech)
Stoves
Pans and Dishes
Refrigerator/Freezer
None (Just Using The Building)

Do You Expect To Alter The Facilities In Any Way? If So, How?