Please read the two policies below before filling out the form for submission to the church office.
Gym Usage Policy --- Building Usage Policy
First Name:*
Last Name:*
Email:*
Phone Number:* (format:xxx-xxx-xxxx)
Organization:
Mailing Address:
City:*
Zip Code:*
Date:* Select Month January February March April May June July August September October November December Select Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 23 25 26 27 28 29 30 31 Select Year 2009 2010
Start Time:* Hour 1 2 3 4 5 6 7 8 9 10 11 12 Minutes 00 15 30 45 AM/PM AM PM
End Time:* Hour 1 2 3 4 5 6 7 8 9 10 11 12 Minutes 00 15 30 45 AM/PM AM PM
Number of People Attending:*
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