Facility Use Form
Shawnee Church of the Nazarene
5539 Quivira Rd. Shawnee, KS 66216
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Group or Organization Name
Name of Individual Responsible *
Phone Number of Individual Responsible *
Email of Individual Responsible *
Address of Individual Responsible
Purpose of the Facility Use
Estimated Attendance
Room(s) Requested
Date of Event *
MM
/
DD
/
YYYY
Beginning Time of the event
Time
:
End Time of the event
Time
:
Date and Time needed for setup
Date and Time needed for tear down
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