Messiah Community Center Facility Usage Request
Please read our Facility Usage Policy (tiny.cc/mccfacility) before submitting the following form.
Organization
Your answer
Event or Program Name
Your answer
Purpose of event or program
Main Contact Person
Your answer
Main Contact Phone
Your answer
Main Contact E-mail
Your answer
Backup Contact Person
Your answer
Backup Contact Phone
Your answer
Backup Contact E-mail
Your answer
Intended Use of Space
Your answer
First Choice of Date
MM
/
DD
/
YYYY
Second Choice of Date
MM
/
DD
/
YYYY
Event Start Time
Time
:
Event End Time
Time
:
Would this be a recurring program or event?
If a recurring event, how often and for how many times?
Your answer
Facility or equipment needs
Other special requests or information
Your answer
I have seen the Messiah Community Center Facility Usage Policy and agree to abide by all terms.
Submit
Never submit passwords through Google Forms.
This form was created inside of Messiah Lutheran Church. Report Abuse - Terms of Service