Facility Use Form

Thank you for inquiring about our facility. Our church's mission is to serve our community and help people follow Jesus. Because of this mission we want our facility to be of service to as many people as possible. We will prayerfully consider your request and get back to you as soon as possible.

May God bless you,

Pr. Carl Juhl

First name*

Last name*

Email*

Phone*

Organization Name (if applicable)

Describe the event purpose and activities. *

Estimated Group Size*

Event Date*

Entering Building*

Time

:HoursMinutes

Departing Building

Time

:HoursMinutes

Is this event recuring?*

What Rooms would you like to use? (Check our building map)

Sanctuary (120 Chairs in rows or 70 chairs at tables)

Community Hall

Kitchenet

The Study

The Playroom

Classroom

Audio/Visual Equipment (TV, Sound System, etc.)

# Tables (10 x 8ft. tables & 2 x 6ft. tables)

# Chairs (115 x folding chairs, 120 padded chairs: not used for food or crafts)

Other Needs, Requests, or questions:

Signature*

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By signing you are agreeing to take responsibility for your groups actions and agree to abide by the facility use policy. Review the Lincoln CCC Building Use Policy here.

Date*

Month

Day

Year

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