Request Calendar Entry

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Please fill out the following application in full. Once submitted you will receive an email within 2 days confirming your request, as well as any follow up information . Please submit your request at least 10 days in advance of the event. Events are added on a first come first served basis, and are subject to room availability.

Date of Event (format: MM/DD/YY)

Event Start Time (format: hh:mm am or pm)

Event End Time (format: hh:mm am or pm)

Contact Name

Your Email

Phone

Name of Group Using Facility

Room(s) Needed

Number of People at Event

Services Needed

 Child Care Media Equipment Sound Equipment Table Set-up Kitchen (Please Provide Your Own Supplies)

This Event Will Occur

 One Time Daily Weekly Monthly

Additional Information

I have read and understand the Facility Use Policy of Mosaic UMC (for a complete copy of the facility use policy, click here).

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