Room Request

 Date of Meeting
 Time
 Date of Request
 Group or Board
 Outside/Community Activity           Church Activity
 Purpose (Party, Meeting, Etc.)
 # attending Meeting
 Person in Charge      Email Address
**This person is responsible for any damage. If lights are left on or doors left unlocked, your
privilege to reserve again may be denied.

 Phone Number
 Alternate Phone Number
 Lock up Person

ALL ITEMS YOU BRING IN MUST BE REMOVED FROM THE ROOM, INCLUDING TRASH.
ANYTHING LEFT WILL BE THROWN AWAY. 

if you change the layout of the room, please put it back the way you found it.

All events must be concluded by 10pm on weeknights and 7pm on Saturdays.


You will be notified of the room assigned and whether or not your request is approved.