Knox CHOP Event/Prayer Time Request Form
Fill out and submit this form if you or your organization would like to use our facility for a ministry-related event or prayer time, etc. We will contact you promptly to confirm your request or suggest an alternative time/date if necessary. Thanks! 
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Your Name *
Name of your ministry/organization  *
Today's Date *
MM
/
DD
/
YYYY
Name of primary contact person for this event/time. If you are the primary contact person AND will be attending/overseeing the event, then write "Same" in the space below. (If not, then provide the primary contact's name who will be attending and overseeing the event.)
Primary contact phone number *
Primary contact email address *
Their role/responsibility within your ministry/organization: *
What is the name/theme of your event/prayer time?
What space will you need? *
Required
When will your event take place? *
MM
/
DD
/
YYYY
What time will it start? (be sure to include your set-up time)  *
Time
:
What time will it end? (be sure to include your tear-down time) *
Time
:
Is this a recurring event? *
Required
What is the frequency of your recurring event/time? (Recurring events/prayer times can be scheduled through the end of the UT semester)  *
Do you have any special needs or requests? If not, write "None" in the space below *
I understand that the primary contact person will be contacted by Knox CHOP staff for final confirmation. I hereby grant Knox CHOP permission to use the info I've provided above to do so. *
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