Please complete this form to submit a building use request. You will be notified by phone of the decision of your request.

PLEASE NOTE:

Please return all furniture to original positions.
Please thoroughly clean room(s) after use.
Turn off all lights in the building if you are the last to leave. Shut all windows. Turn off air conditioner(s).
Notify the church office immediately of any changes in this application.
Another application must be completed by September 1st of each year for ongoing use. Failure to complete this application may jeopardize your scheduling and priority.

Name of Organization or Group

Purpose of Meeting

Date(s) for Use

(check one)

Regularly

One Time

Hours for Use

Facilities to be Used

Fellowship Hall

Kitchen

Lounge

Lower Level Classroom(s)

Conference Room

Room 208

Anticipated Attendance

Responsible Person

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

####

Additional Comments or Special Requests