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.Format: (000) 000-0000.
Email
example@example.com
Organization
YesNo
Date of Event*

MonthDayYear
Date
Time range of usage*
Gathering Area/kitchenetteGymnasiumKitchen
Certificate of Insurance
Purpose of the Event
Ministry if any
Expected number in attendance*
Describe any decorations to be used:
Yes
Signature

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