Church Access Request Form
To request access to the Church, complete this form. Talk to the appropriate Ministry Leader PRIOR to completing this form. Call the church office at 563-927-2851 with any questions.
(Cell) Phone Number
Purpose for accessing the church
Frequency of church use - include start & end dates & times (as much information as is known)
What room(s) would you like to use? (based upon availability)
101 (lower level glass room)
Room 1 (upstairs classroom)
Room 2 (upstairs classroom)
Room 3 (upstairs classroom)
Additional Comments (let us know if this is a CHANGE to an existing meeting & if/when you will resume meeting at your normal time)
It is the responsibility of the key card holder to ensure any areas used are clean and left in the same condition as they were found. All Church policies & procedures must be adhered to.
Additional documents are required to secure key card access and/or use of the facility.
Send me a copy of my responses.
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This form was created inside of theStone Church.