Would you like to use our facilities?

Buidling Usage Request Form

First name

Last name

Phone

Name of Organization

Type of Orginization

Ponca City Assembly reserves the right to deny the opportunity for building usage to any organization or person that adheres to practicies and beliefs that go against our constitution and bylaws.

Event Date (s) Requested:

Date of Set up for event:

All personal items will need to be removed directly following your event.

Type of Event

Person in Charge of Event:

Set Up Time:

Start time of Event:

End time of Event

Which room(s) would you need?

Have you checked the Church calendar for schedule conflicts?

Yes

Will you need sound, media, microphone?

(Sound for the Sanctuary & Fellowship Hall requires a trained staff person)

Will you need video or slideshow operator?

Yes

(Requires a trained PCA Tech if showing a video or slideshow in the Sanctuary or Fellowship Hall)

Notes: For your wedding with reception (using fellowship hall and kitchen), you are renting the space ONLY. You will be responsible to bring everything you need for your event, including but not limited to your own cooking appliances (crock pots, ect.) utensils, dishes, ect.

Please Remember you are responsible for

Returning room(s) to condition it was found in

Placing all trash in the appropriate receptacles

2313 East Prospect Ave. Ponca City OK 74604
580-762-2401

Ponca City Assembly of God

Would you like to use our facilities?

Buidling Usage Request Form