Southwest Chinese Baptist Church

Kitchen Usage Request Form

西南華人浸信會

訂用廚房設施申請表

 

Today’s Date 今日日期: 

 

Person in Charge 聚會負責人:

Person in Charge Email 負責人電 :  

Person in Charge Phone 負責人電話  :

   (Daytime) or

   (Evening) or

   (Cell)

Date(s) of Event(s) 聚會日期: 

 

Time of Event 聚會時間:

    to      

Kitchen use time 廚房使用時間:

Open        /

Close  

Organization 聚會團體:

Number of guests to be served:  聚餐人數:  

Please check if you will be using any of the following only if it is available:須用設備:

Freezer                   Coffee Maker      Stove/Oven          Rice Cooker 

Dishwasher             Microwave           Refrigerator          Other

Please indicate the quantity of each item below needed for your event:

(Non-Church function will be charged):

 

Large Plates  

Small Plates  

Bowls    

Styrofoam cups  

Plastic Cups  

Napkins        

Spoons   

Knives              

Forks            

Coffee            

Tea          

Drink Mix         

 

I acknowledge by submitting this form that the information provided above is accurate.  I will make sure the kitchen is returned to specifications as described in the “SWCBC Kitchen Use Guidelines”.  I also agree to notify the church office immediately at (281) 495-1511 should untoward damage be occurred while using the kitchen. I will reimburse the Southwest Chinese Baptist Church for any facility or equipment damage or loss incurred because of negligence while using the kitchen.