Facility/Equipment Usage Request

For questions contact the church office at 816-324-3314 during office hours.

What is the event you will be holding?
What is the focus of this event.
Who is in charge AND responsible?
Please give the complete address for the event leader.
What is the best contact number for the responsible person? You must enter the number in the format shown. (999)999-9999
mm/dd/yy
If you require a start time other than those listed, please check "other" and we will see if we can assist - REMEMBER TO INCLUDE SET UP TIME!
mm/dd/yy
If you require an end time other than those listed, please check “other” and we will see if we can assist - REMEMBER TO INCLUDE CLEAN UP TIME!
Requires Secretary or Administrator Approval
Requires Administrator Consultation/Approval
Please fill out the items you will be needing.
Notice - if you select “Other” above, you must complete what items you would like to use.
Who will be driving the vehicles?

By submitting this form by clicking on the submit button below, I indicate that I have read the usage policy (see below) and agree to its terms. (To sign, place your pointer on the line below, click and hold the left mouce button and sign (releasing as needed). I understand that submitting this form does not guarantee reservations until notified by staff of approval.