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XA Ministry Center Request
This form is for requesting to reserve the XA Ministry Center for an event.
We will not approve day of requests.
You must receive confirmation of request approval before arriving at the XA Ministry Center
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* Indicates required question
Email
*
Your email
Name
*
First & Last
Your answer
Phone Number
*
Please include area code
Your answer
Association with Chi Alpha
*
First & Last
Staff
Intern
AKSP
Resource Leader
Small Group Leader
Small group member
Un-associated.
Required
Name of Event
*
Your answer
Description of Event
*
Your answer
Preferred StartÂ
Date of Event
*
MM
/
DD
/
YYYY
Preferred End Date of Event
*
MM
/
DD
/
YYYY
Event Start Time (including set up)
*
Time
:
AM
PM
Event End Time (including clean up)
*
Time
:
AM
PM
Space Requested
*
*You must provide your own coffee, food, plates, cups, bowls, cutlery, etc...
Main Meeting Space
Kitchen*
Garage
Front Yard
Backyard
Required
Estimated Number of Participants
*
5-10
10-20
20-30
30-50
Other Services Requested
Visual Aid (TV/Projector)
Sound (Need authorized personal)
Additional Seating
Do you have any other notes, comments, or questions?
Your answer
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