Building Request Form

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Event Information

Event/Purpose *

Number of People *

Select One *

Date of Event *

Event Start Time *

Event End Time *

Preparation time Begins *

Clean up time ends *

Name of Responsible Church Member *

Phone Number of member *

Choose Any *

Old Kitchen New Kitchen Youth Room Worship Center Room 1 Room 2 Room 8 Room 9 Library Room 12 Room 13

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