Application for Usage of St. Matthew Lutheran Church Facilities

General Information

Name of Group or Individual(s):

Purpose or Activity:

Usage Requirements

Frequency:

One timeWeeklyMonthlyAnnuallyOther

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: