Master Request Form

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Church Aflame
World Outreach Ministries, Inc.
email us at: Church Aflame
Phone: 334-289-5809

We are located at the Demopolis Plaza

306 E. Jackson Ave.

Demopolis, Al. 36732

Sunday Morning 10:30 a.m.
Wednesday Night at 7:00 p.m.

CHURCH AFLAME
World Outreach Ministries, Inc.

MASTER REQUEST AND FACILITIES APPROVAL

AND ROUTING FORM

Today’s Date: Ministry Name:
Type of Event/Activity:

Date/Day of Event: Time Begins
Ends

Room(s) Requested: Number of People Expected:

Time Reserved: Beginning Time: Ending Time:

Ministry Leader’s Signature Date / /

Oversight Pastor’s Signature Date / /

Administrative Pastor’s Signature Date / /

1. Confirmed on Master Calendar By

Date / /

ANY CONFLICTS WITH THE MASTER CALENDAR ARE NOTED HERE:

2. Child Care Requested ^{Yes
or No} Approved ^{Yes
or No}

Children’s Pastor’s Signature Date / /

Room(s) Requested for Child Care:

Number of Children for Child Care

3. Facilities Work Order Request ^{Yes
or No} Approved ^{Yes
or No}

Administrative Pastor’s Signature Date / /

4. Housekeeping Work Order Request ^{Yes
or No} Approved ^{Yes
or No}

Administrative Pastor’s Signature Date / /

5. Audio/Visual Requested ^{Yes
or No} Approved ^{Yes
or No}

Media Pastor’s Signature Date / /

6. Bulletin Announcement Requested ^{Yes
or No} Approved ^{Yes
or No}

(Announcement Form attached separately)

Media Pastor’s Signature Date / /

7. Off Sight Activity Requested ^{Yes
or No} Approved ^{Yes
or No}

Pastoral Care Pastor’s Signature Date / /

8. Transportation Requested ^{Yes
or No} Approved ^{Yes
or No}

Children’s Pastor’s Signature Date / /

It is your responsibility to take this form to each Pastor/Oversight for their approval.

9. Audio/Visual Support:

a. This event will require the following equipment:

CD/Tape Deck (playback)

Audio Tapes (recording only)

Lapel/Lavaliere

Handheld microphone (wireless) Qty

Handheld microphone (wired) Qty

Full Sound System

b. Audio tapes may be picked up at the Worship Office during Office hours ONLY.

c. Please specify any other A/V needs:

10. Off-sight Activity Request:

a. Location of activity:

b. Anticipated number of attendees:

c. Mode of Transportation: (Bus) (Van)

d. Release of Liability forms completed for each person involved in activity? ^{Yes
or No}

It is your responsibility to break down and set up for your own event.

Every area used must be put back exactly as you found it.

It will also be your responsibility to clean up after yourselves or a clean up fee of $30.00 per room will be charged to you and/or your ministry.