Facility Use Request

Please complete the form below to request the use of our facility.

X/Twitter

This field is for validation purposes and should be left unchanged.

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Date/Time of Event*

Length of Event (Hours)*

Description of Event*

Rooms Requested (Select Applicable Rooms)*

Entire Church

Fellowship Hall

Kitchen

Primary Room

Junior/Earliteen Room

Beginners Room

ACS/Youth Building

Do you need A/V Service?

Yes

How many people do you expect to attend the event?*