Building Use Request - Non-Church Program

Please fill out this form and click submit. For questions, please call the church office at: 563-326-1691

Contact Information

Requester's Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Requestor Information

Request on Behalf of:

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Please select one option.

Self For-Profit Organization Non-Profit Organization

Organization Name

Organization Website

Are you an FPC member?

*

Please select one option.

Yes No

Event Description

Briefly Describe the Event

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Merchandise Sold at Event

*

Please select one option.

Yes No

Ticketed Event

*

Please select one option.

Yes No

Donation/Offering to be Requested

*

Please select one option.

Yes No

Requested Date of Event

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Time of Event

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Time Needed to Access Building

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Time of Final Building Exit

*

Number of Attendees

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Will any Attendees be Under the Age of 18?

*

Please select one option.

Yes No

Room(s) Requested

Please select all that apply.

Sanctuary Kitchen Parlor Chapel Von Maur Hall Fellowship Hall Gym Classrooms Parlor Kitchen

Church Resources Requested

Please select all that apply.

Chairs Long Tables Round Tables Sanctuary Sound/Recording Projector/Screen Microphone (Non-Sanctuary) Tableware Glasses/Dishes Kitchen Stove/Oven

Description

Please fill out this form and click submit. For questions, please call the church office at: 563-326-1691

Please Fix the Following

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