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