Community Center at Westfield Facility Use Request and Agreement

Community Center at Westfield Facility Use Request and Agreement

IMPORTANT: Contact David Liggett (724.651.5944) or Deborah Replogle (843.822.7828) before your event to arrange a walk-through of the space and arrange for doors to be unlocked.
Date of Request*

MonthDayYear
Date
Name *
Age
Address*
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Organization
Are you a member of this church?

YesNo
Date of Event*

MonthDayYear
Date
Time range of usage*
Requesting Use of:*

Gathering Area/kitchenetteGymnasiumKitchen
Certificate of Insurance
Purpose of the Event
Ministry if any
Expected number in attendance*
Describe any decorations to be used:
I have read the GUIDELINES & RULES FOR USE OF WESTFIELD COMMUNITY CENTER and will abide by the above-mentioned guidelines.*

Yes
Signature

Powered by Jotform SignClear
Should be Empty: