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Georgetown Lutheran Church Application for Non-Wedding Usage of Building & Grounds
Applicant(s) must answer all questions with the asterisk (*).  

Please note that special events may not be scheduled during Holy Week.  Worship services and congregational activities are given first preference on the church calendar.
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Name of individual/organization/group renting the space: *
This space request is on behalf of a/an *
If an organization or business, website address: *
If an organization or business, do you hold current liability insurance? *
Name of Person filling out application form: *
Mailing Address: *
Email Address: *
Phone Number(s): *
Purpose of rental request: *
Date(s) Requested: *
Time(s) Requested:  (When calculating time, please include time for set up and clean up) *
Rooms requested (check all that apply): *
Piano needed?:  (Cost is $100 for piano use.) *
Anticipated attendance: *
Event type (check one): *
Special needs/requests (if any):
How did you hear about our facility? *
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