Grace Lutheran Church and School Facility Use Form

You may use the form below to submit a request for using the facilities at Grace Lutheran Church or School. This form is also available in paper form on the bulletin board across from the church office. Fields marked with an asterisk (*) are Required Fields. Please check the Calendar to make sure that the facility you are requesting is not already booked.

Priority: School and Church functions have priority over other community activities. When it is necessary to intrude on scheduled community activities, alternative facilities will be arranged if possible.

Note: If arrangements must be changed or cancelled, please contact the Facility Coordinator at least one week in advance of scheduled use.

Name of Applicant: *
Name of Organization:
Address: *
City: *
State: *
Zip Code: *
Contact Phone Number: *
Applicant E-mail:
Requested Date(s): * (mm/dd/yyyy) Check Calendar for Availability
Time(s) Activity Begins: * (if more than one day is requested, list date and time for each day)
Time(s) Activity Ends: * (if more than one day is requested, list date and time for each day)
Approximate Number Attending: *
Type of Activity: *
Special Requests: (must be requested one week prior to activity)
Audio/Visual: (Please note that the Audio/visual system(s) requires specially trained operators.)
Tables and/or Chairs: (list number desired)
Other:
I hereby certify that I am an agent of the above named organization and have been authorized to accept in their name the responsibility for observance of the rules and I understand that the permit for the use of school/church facilities may be cancelled if an of the rules are violated. *