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Room Request form
For Outside Groups
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* Indicates required question
Email
*
Your email
Organization Name
*
Your answer
Contact Person
*
Your answer
Contact Phone Number
*
Your answer
Contact Email Address
*
Your answer
Reason for rental or Name of event
*
Your answer
Event Date
*
MM
/
DD
/
YYYY
Event Time
*
Time
:
AM
PM
Set-Up Date
MM
/
DD
/
YYYY
Set-Up Time
MM
/
DD
/
YYYY
Option 1
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Number of Expected Participants
*
Your answer
Certificate of Insurance sent to the church office?
*
Yes
No
Other:
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