Facility Usage Request

Please complete this form to request usage of our building for events, showers, or parties. Click 'Submit' when complete. The completion of this form does not guarantee permission to use the facility. You will receive a confirmation email or phone call about your event. If you don't receive something to confirm your request, please contact the church office at 260.627.3678. 

User agrees that it will not use the premises for any purpose that is contrary to the mission, purpose or belief of the Owner, which is a biblically-based religious institution.

Event Name

New Event?

Requested By?

Event Date?

Event Start Time?

Time of Conclusion?

Setup needed? Time of Setup?

Area(s) Requested?

Number of People Attending?

Tables & Chairs Needed?

Equipment Needed?

Sound Technician Needed?

Media Technician Needed?

Vehicles Needed?

Key needed if not during a business day, or regularly scheduled event?

Contact Person?

Contact Email?

Do you want this event advertised in church publications?

Please give a valid telephone number to contact in an emergency

In placing this request with us to use our facility, you are committing to use our facility in a way that is in agreement with our beliefs and policies. For any questions regarding those beliefs and policies, please see our What We Believe section and our Facility Use Policy Agreement

Please type your name that you agree.