Request Form for Special Building Use Of Central Presbyterian Church
Please complete this form so we can determine if we can accommodate your needs.
Today's Date: *
MM
/
DD
/
YYYY
Name: *
Your answer
Organization Name: *
Your answer
Contact Name: *
Your answer
Contact Phone Number: *
Your answer
Contact Email: *
Your answer
Requested Date of Use: *
MM
/
DD
/
YYYY
Requested Start Time of Use: *
Time
:
Requested End Time of Use: *
Time
:
Description of Activity/Event: *
Your answer
Reason to Use this Facility: *
Your answer
Number of Adults Attending: *
Your answer
Number of Children Attending (must be supervised): *
Your answer
Are Central Presbyterian Members Involved? *
Required
If Yes, please provide names of CPC Members
Your answer
Requested area of church *
Required
Will the Piano and/or Organ be needed? *
Required
After Use Cleaning Plan *
Required
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service