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Good Shepherd Facility Request Form
Please contact Aaron Wilson with any questions you have about your event. 816-726-7384
Good Shepherd Facility 4341 Blue Ridge Blvd. KCMO 64133
Name *
Your answer
Email *
Your answer
Address *
Your answer
Phone number *
Your answer
Does your organization have liability insurance?
Secondary Contact Number
Your answer
What type of event are you needing the space? *
If you selected other please explain what your event is.
Your answer
Good Shepherd Member who will be present during your event. (If applicable)
Your answer
When is your event? *
MM
/
DD
/
YYYY
What time is your event? INCLUDE SETUP *
Time
:
What time will your event be over? INCLUDE TEAR DOWN *
Time
:
Will you be needing space for more events like this one? If so when?
Your answer
What room(s) are you needing for your event? (Members and Non-Profit Organization pricing will vary) *
Required
Will you be using any of the A/V Equipment? (Additional charges apply if a tech is required) *
If your event is booked will you be able to meet with the building scheduler to go over the formal contract? When would you like to meet? *
Your answer
By typing your first and last name at the bottom of this form you understand that this form does NOT guarantee any placement at Good Shepherd for your event. Church events will take priority over any event scheduled. Good Shepherd reserves the right to move any event that is scheduled during a church function. Payment for your rental is due at the time you gain access to the building. By signing this you agree to pay for any and all damages incurred by your event and or it's attendees. *
Your answer
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