Facilities Use/Event Form

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Please complete this form for any room or space requests at Rumple Memorial Presbyterian Church. Due to the high demand for meeting spaces, please note that your request is not confirmed until you receive an email from a staff member of the Rumple Church Office.

Email *

Group/Committee/Organization Name *

Contact Name *

Phone Number *

Contact Email (if different from above)

Name of Event *

Expected number attending *

Date of Event (Recurring information next box) *

If recurring event, please specify the frequency (ie, the second Tuesday of every month; every Monday in April; Thursdays May 1st through May 29th)

Starting Time of Event *

Ending Time of Event *

Requested Space/Location *

Room 4 (Library) - Max 12

Room 5 (Adult Classroom) - Max 15

The Gathering Space - Max 200 - with tables & chairs, Max 100

Rumple House (M-F after 5pm, Sat & Sun) - Max 12

Parking Lot

Zoom

Other:

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