Knox Room & Grounds Request Form

Room & Grounds Request Form
  • To provide safe meeting space Knox complies with applicable State and County Covid-19 orders
  • Do not use Knox’s facility if you are at risk of carrying the Covid-19 virus (see MDHSS guidelines)
  • Upon entering the building at the Office entrance, carefully review posted building use protocols and sign in
  • Be aware that facility availability and protocols may change as Michigan manages the pandemic
Group and Requester Information

Please complete and submit the following form. Your request will be reviewed by the Knox Office as soon as possible. We will contact you to confirm your request or to alert you to any conflicts. If you have additional questions regarding room requests contact Verna Hinman, Office Manager.


Organization or Ministry name
Contact must be 18 years of age or older.
Required in case of emergency
Event/ Program Information
Please let us know your start / single occurrence date
Please list dates requested, (e.g. 1/12/2016)
People Attending
Requested Room(s)

Please indicate requested room(s) and times. (2 hours max)
It’s important to include set-up and tear-down time, (e.g. if your event starts at 2:00 PM and you need half an hour to set up, please select 1:30 PM as your start time).

Please include start and end times.
Please park in the lower level lot.
Additional Information
reCAPTCHA is required.