Representative Name *

First Name

Last Name

Texting Phone # *

(###)

###

####

Requested Date *

What day would you like to use the building? **Please note, the building is not available on Saturdays**

MM

DD

YYYY

Start Time *

Hour

Minute

Second

AM PM

End Time *

**Must end before 10PM**

Hour

Minute

Second

AM PM

Rooms Requested *

Which areas do you need use of? **Any rooms not requested will be off limits**

Main Room (seats up to 250)

Coffee House/ Bookstore area (Seats up to 20)

Corner Area (use of coffee & snack bar)

GiG Youth Room (Seats up to 15)

Baby Room (changing table)

Toddler Room (changing table & toys)

Preschool Room (Child seating & toys)

K-1st Grade Room (child seating only)

2nd-5th Grade Room (Seats up to 20)

Middle School room (Seats up to 15)

Courtyard

Services Requested

What services will you be needing for your event?

Eastgate's Sound Equipment: Audio & microphones ($50 minimum fee)

Eastgate's Projectors/ Media Equipment ($50 minimum fee)

Building Fee (Select One)

The building fee is based on the time and amount of people using the Eastgate building. Select the option that best applies to your request.

$50 (1 Hour total; 20 or less total people)

$100 (Up to 4 hours; 75 or less total people)

$200 (Up to 6 hours; 150 or less people)

$300 (Any Saturday building usage)

Other price requested (Note amount and why in comment section below)