Requested Date of Event *
For recurring events, an additional request form should be submitted for every requested date.
Indicate which PCCA Campus this facilities request comes from: *
Time Requested: Arrival *
(this includes rehearsal, set-up, decorating etc.)
Select… 8:00 am 8:30 am 9:00 am 9:30 am 10:00 am 10:30 am 11:00 am 11:30 am 12:00 pm 12:30 pm 1:00 pm 1:30 pm 2:00 pm 2:30 pm 3:00 pm 3:30 pm 4:00 pm 4:30 pm 5:00 pm 5:30 pm 6:00 pm 6:30 pm 7:00 pm 7:30 pm 8:00 pm 8:30 pm 9:00 pm 9:30 pm
Time Requested: Departure *
Select… 8:00 am 8:30 am 9:00 am 9:30 am 10:00 am 10:30 am 11:00 am 11:30 am 12:00 pm 12:30 pm 1:00 pm 1:30 pm 2:00 pm 2:30 pm 3:00 pm 3:30 pm 4:00 pm 4:30 pm 5:00 pm 5:30 pm 6:00 pm 6:30 pm 7:00 pm 7:30 pm 8:00 pm 8:30 pm 9:00 pm 9:30 pm
Phone number *
Phone type Mobile Home Work Other
Do you have badge or fob entry access to enter the Rogers First Church campus? *
Once this facility use request form has been submitted and processed (up to 7 days), you will receive an email notification at the email address listed above, indicating the status of your event request.
Submit