Funeral/Memorial Service Request
First Name
*
Please enter your First Name
Last Name
*
Please enter your Last Name
E-mail
*
Please enter email address/username
Phone
Please enter your phone
Event Name
*
Please enter your Event Name
Event Description
*
Please enter your Event Name
Event Date
*
Begin Setup
Start Time
*
End Time
*
End Teardown
Location
*
Hanford Campus
Selma Campus
View Location Conflicts
Public?
Public Notes
Public Link
Type of Service
*
Traditional Service with Casket
Memorial Service with Urn
Memorial Service without Remains
Name of Decedent:
*
How many guests do you expect to attend?
*
Which room would you like to reserve?
*
Great Room (up to 100)
Learning Center Auditorium (up to 200)
Main Auditorium (up to 900)
If you are working with a funeral home, please list the name of the funeral home and their contact information.
Standard room reservations allow for 1 hour of setup time prior to service start time and 1 hour of cleanup/removal of person items after the service ends. Do you anticipate needing any additional time?
Who will officiate this service?
*
If not using a Koinonia pastor, please provide the name and contact information of the pastor overseeing the service.
Are you currently a member of Koinonia Church?
Yes
No
Please let us know about your audiovisual needs. Please note that last minute requests often cannot be accommodated because of limited staffing and resources.
Music provided by Koinonia (pre-selected music available)
I will be providing a personally made slideshow on a USB drive (must be received at least 48 hours in advance)
Livestream (additional fee)
Microphone(s)
Table or mic stands for family/friends to share stories
Use of keyboard/piano during service
Please list any special music requests, such as, "I have a vocalist, pianist, etc.," or "I would like to have ________ song played."
Confession of Faith Agreement
Building use is also subject to agreement with our Confession of Faith.
Agreement to Confession of Faith
*
Yes
No
Real Person Verification