Please fill out the form to request facility use.  Thanks!

Last Name:    First Name: 

Phone number:   E-mail:  

Address:

City:     State:    Zip: 

Day & Date(s) of use:     Times: 

  One time use           On-going use  (list the duration of dates) 

Number in group: 

Room(s) being requested:

  Team Room       KidZone Classroom (number of rooms needed)

  KidKare (nursery)           Worship Center        Kitchen        Clubhouse Cafe

Do you have any facility keys and / or a FOB?    Yes           No, I'll need one

Please indicate below what the room(s) you are reserving will be used for: