Messiah Space Use Request Form

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Messiah Committee/Community Partner Organization/Outside Group Name: *

Program/Event Name: *

Program/Event Leader Name: *

Leader Phone Number: (please specify home, work or cell) *

Leader Email Address: *

Event Date & Time Beginning

For reoccurring programming or a more complicated schedule, a more detailed calendar may be sent to office@messiahschenectady.org

Event Date & Time Ending *

Set Up/Clean Up Time Needed *

Event Space(s) Needed (Check all the that apply): *

Narthex

Sanctuary

Fellowship Hall

Kitchen

Office

Sunday School Room #1

Sunday School Room #2

Sunday School Room #3

Library/Adult Ed Room

Yard

Required

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