Building Use Form

Please use this form to request use of the building.

(Submit this form at least 1 MONTH prior to the event.)

Contact Information * required

First Name *

Last Name *

Contact Phone *

Home Phone

Work Phone

Mobile Phone

Email *

Street

City

State

Postal Code

* Notes

Church Ministry or Group Name: *

What is your intended use of the facility? *

What is the intended date of your function? *

Is this a recurring activity? *

If yes, please list all subsequent dates.

What time will your event begin? *

What time will your event end? *

Set-up time needed? *

Clean-up time needed? *

How large of a group are you expecting? *

Additonal Comments or Questions: