FACILITY USE/CALENDAR REQUEST FORM

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Terms and Conditions* This field is required.
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Name of individual/group requesting facility use:* This field is required.
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Phone #* This field is required.
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Email* This field is required.
example@example.com
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Calendar Date Requested* This field is required.
Date
Month
Day
Year
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Time* This field is required.
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Hour
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Minutes
AM
AM
PM
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If recurring Start date
Date
Month
Day
Year
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If recurring End date
Date
Month
Day
Year
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Type of program* This field is required.
10
I have access to the building:
Please Select
Please Select
Yes
No
11
Facility/services needed (please list all rooms/services you are requesting):* This field is required.
Please Select
Sanctuary Classrooms
Fellowship Hall
Small Kitchen
Choir Room
Parking lot
Van
12
Estimated number of people involved
13
Estimated Funding Requested:
14
CONTACT PERSON RESPONSIBLE
First Name
Last Name
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Date
Date
Month
Day
Year
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Please attach additional pages with supporting documentation.
17
File Upload
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