Building Usage Request

To request the use of the building facilities complete and submit the following form. Your request will be reviewed by the Knox office as soon as possible. An email will be returned to you to confirm your request or to alert you to any conflicts.

Building and Equipment Usage Request Form
Name of committee or ministry:
Name of event/program:
Event/program will occur:



Event date:


Person responsible for event/program:
(Must be 18 years of age or older)
Cell phone:
(We must have a cell phone number for a leader in your group in the event that we need to contact you while you are in the building. If you do not have a cell phone, please provide the cell number of another leader)
Email address:

Please check below room(s) and times requested (please include set-up and tear-down time in request):
Upper level: Lower level:
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Approximate number of people attending:
Please check which parking lot you will be using:

Please indicate what refreshments, if any, are to be served:
(Please avoid red and/or purple dye, e.g. red pop.)
Additional information and special requirements:
If your event is on the weekend, please take all trash directly to the dumpster.

Complete the following only if the person submitting this request is other than the person responsible as indicated above.

Request submitted by:
Best phone:
Email address:
 

© 2014 Knox Presbyterian Church