Room Request Form – during COVID-19

I have read the protocols for requesting indoor rooms and outside grounds at Knox during COVID-19 and agree to adhere to all the requirements.

Signature is required.
Room(s) & Grounds Request Form
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
Please be sure you've signed at the top to signify that you've read the COVID Building Use Protocols. This must be signed or the form will not allow you to submit your request.
reCAPTCHA is required.