RCC 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 emailed to office@rotterdamcc.org

Event Date & Time Ending *

Set Up/Clean Up Time Needed *

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

Lobby

Performance Hall

Friendship Hall

Conference Room

Food Pantry

Davis Room

Kitchen

Food Pantry Welcome Area

Room #1

Room #2

Room #3

Room #4

Room #5

Room #6

Studio Room

Required

How many guests are you expecting?

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