Event Scheduling Form

Event Schedule/Calendar Request Form

Centerville Baptist Church
908 Centerville Turnpike South, Chesapeake, VA 23322

You must have this form filled out for your event to appear in the calendar.

Upon approval, your event will be posted on the church calendar.
Approval or denial of the application will take up to five (5) business days.

The form was approved at church conference and REQUIRES that use of the kitchen must meet
qualifications of the Commonwealth of Virginia Department of Health regulations.

Current copies of "Food Handler's Cards" must be attached to the Event Scheduling Form.
Food Handler's cards do not guarantee kitchen usage approval.
Request forms WITHOUT Food Handler's card will be DENIED use of the kitchen.

Events that request use the kitchen must turn in a hard copy of the event form
along with "Food Handlers Cards". Online form may only be used to "pencil" in such events.

Host/Contact Name:

Email/Phone:

Event Date:

Event Start Time:

Event End Time:

Event Name/Title:

Additional notes:

Please indicate where event will be held:
(press Ctrl to select multiple rooms)

The event is for:

Please indicate
which classroom
you will be using.