Building Use Request

*Required field

*Group:	*Event:

Event Date: / 2010 Weekly Recurring Event Set-up Time:* Start Time: End Time: Clean-up Time:	*Space Needs: Auditorium Upper Room Narthex (Foyer Area) Nursery Kids' Game Room Classroom(s)	Multimedia Needs: Sound Projection Other Needs: (Optional)

Contact Person: *Name:	*Phone: Email:

*Enter These Numbers:	(So we know you're human.)

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