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.  
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Email *
Name *
(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) *
Additional Comments (let us know if this is a CHANGE to an existing meeting & if/when you will resume meeting at your normal time)
Please Note:
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.
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