This form should be completed to request the use of the church facilities. Once submitted, you will be contacted concerning your request after it has been reviewed. Request must be received at least 30 days in advance.

"*" indicates required fields

MM slash DD slash YYYY

MM slash DD slash YYYY
Start Time*
:
End Time*
:

Area of Facility Requested*
Audio/Video Needs*
Specific Room Set-up Needed*
If yes, please explain when contacted about this form submission to ensure that we can accommodate your request.