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Anthem Church Facility Usage / Event Request Form

First Name * Please enter your First Name

Last Name * Please enter your Last Name

E-mail * Please enter email address/username

Phone Please enter your phone

Event Name * Please enter your Event Name

Event Description * Please enter your Event Name

Event Date *

Begin Setup

Start Time *

End Time *

End Teardown

Event Recurrence Rules

Recurrence

Recurrence Rules

Every days(s) *

Every Weekday

Recur Every week(s) on:

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Recur every month(s) on:

Day

The

Recur every years(s)

On

of

Recurrence dates:

End Event after occurrences.

OR

End After Date

Location *

Public?

Public Notes

Public Link

Number of People *

Name of Group or Ministry You Represent *

Is Your Group / Ministry a 501c3 Non-Profit? *

Yes

No

__________________________

Will Food Be Served (Before, During, or After the Event)? *

Yes

No

Are You Requesting Use Of The Anthem Church Kitchen or Kitchen Equipment/Supplies? (Additional Fees May Apply)

Yes

No

If Food Will Be Served OR If Requesting Use Of Kitchen/Equipment Please Explain

__________________________

Please Let Us Know Of Any Additional Requests Or Questions You May Have

__________________________

PLEASE NOTE: Deposits & Fees are required for some events. Please see the Anthem Church Facility Use Agreement & Guidelines below for more information.

Please take note of the Anthem Church Facility Use Agreement & Guidelines and download them for future reference.

Anthem Church Facility Use Agreement & Guidelines 050122.pdf

I have read and agree to abide by the Anthem Church Facility Use Agreement & Guidelines *

Yes

No

Real Person Verification

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