Facilities Use Request Form

Please use this form to request use of a room at Dardenne Presbyterian Church. Please select Other/Any Available if you do not know which facility/room you need.

Event Title *

Event Description/Purpose *

Organization Requesting *

Estimated # of Adult Attendees

Estimated # of Youth Attendees

Church Membership of Requestor *

Member

Non-Member

Room Desired *

Date of Event *

Start Time (include AM or PM) *

End Time (include AM or PM) *

Arrival Time for Setup (include AM or PM) *

Time when clean-up will be complete (include AM or PM) *

Recurring Event?

Yes

Room Configuration (Tables, Chairs, etc)

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Facilities Use Request Form