FIRST UNITED PRESBYTERIAN CHURCH OF TROY
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ACTIVITY BUILDING USE REQUEST FORM
Name of Program:
*
Program Purpose:
*
Primary Contact:
*
Phone#:
*
Email Address:
*
Secondary Contact:
*
Phone#:
*
Email Address:
*
Start Date:
*
Set-Up Time:
*
Actual Start Time:
*
End Date:
*
Actual End Time:
*
Is This a Recurring Event?
*
Yes
No
Clean-Up Time Ends:
*
Room(s) Needed:
*
Rose Room
Fellowship Hall
Community Room
Kitchen
Sanctuary
McCarty Room
Additional Notes:
List Special Dates Event Will Not Occur:
*
Additional Materials Needed (including set-up):
*
Public or Private Event (NOTE: Public events will be published to the church calendar):
*
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