Facility Use Application
Palmyra Grace Church Facility Use Form
To be filled out at least 45 days prior to the event.
* First Name
* Last Name
Organization (If Applicable):
* Address
* City
* State/Province
* Zip/Postal Code
* Mobile Phone
* Email
* Date of Requested Use:
* Start Time (Including Set-up):
* End Time (Including Clean up):
* Purpose for Facility Use:
* How many People for this event:
* Requested Facilities
Worship Center with basketball or volleyball equipment Needed
Worship Center
Stage
Sound System (Requires PGC Tech)
Kitchen
Multipurpose room(social hall)
Living Room
Nursery/Toddler Rooms
Classrooms (List Specific Room Numbers Below)
Pavilion
Other Facilities (Outdoor Lawns, parking lot)
* List Classrooms if Needed
* List ANY Other Items Needed(Tables, Chairs, etc.))
Comments Regarding your Application
Release Form
View Waiver
- Please Read the Facility Use Policy Before Submitting your Application.
* I Have Read the Above Facility Use Policy and Agree to its Terms
Select one
Yes
No
FOR OFFICE USE ONLY
- Please leave this section blank For Office Use Only
Application Process
Select one
In Progress
Approved
Not Approved
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