Room Request Application

Contact Information:

First Name

Last Name

Address

City/Town

State

Zip Code

Email

Phone

Group Information:

Group Name (if applicable)

Your Role In The Group

Activity Details:

Do you charge people at your event to attend or participate?

Yes

No

Type Of Activity:

* Entertainment or Game Details

Estimated Event Participants:

Total Number of People

% of Adults Present

% of Children Present

Room(s) Needed:

Type Of Room Needed:

Sanctuary requests will be sent to a separate Board for review and approval.

Kitchen Usage:

A brief advance orientation is required for Kitchen use:

Dishwasher/Sanitizer is required unless all plates, glasses, cutlery, and utensils are to be thrown away after use.

Room Usage Details:

Room Use Frequency:

Day(s) Needed:

Date of Your Event:

Start and End time for the event

(including set-up and clean-up time)

Start Time:

:

End Time:

:

If all fields applicable to your event are not completed, review of your request could be delayed.

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