Church/Room Usage Request

This form is for St. Peter Ministry Teams and Members. All other requests for usage should be handled through the church office at 574-255-5585.

Your Name (First and Last)*(required)

Email*(required)

Cell Number*(required)

Description of Event*(required)

Date Event Begins*(required)

Date Event Ends*(required)

Event Start Time*(required)

Event End Time*(required)

Do you need someone to unlock and lock the church for your event?*(required)

Yes No

Is this a recurring event?*(required)

Yes No

If yes, please include details (frequency, etc.)?

Additional Information

I acknowledge the following for non-church functions*(required)

Yes, I understand that church functions take precedent over non-church functions. Yes, I understand that a custodial fee may be required for non-church functions. Yes, I understand that custodian availability may be a factor in accomodating non-church functions.

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