Application for Usage of St. Matthew Lutheran Church Facilities

    General Information
    Name of Group or Individual(s):
    Purpose or Activity:
    Usage Requirements
    Frequency:
    Describe need:
    Date(s) Requested:
    Indication of Needs
    Room(s) (check) Activity
      Sanctuary:
      Fellowship Hall:
      Downstairs Conf Room:
      Kitchen:
      Upstairs Conf Room:
      Other:
    Primary Contact
    Name:
    Address:
    Telephone:
    Email:
    Secondary Contact
    Name:
    Address:
    Telephone:
    Email: