Building Use Form

All request must be made no less than 2 weeks in advance. Leadership approval required for all non-member activity request.

Please sign and return the Building Usage Agreement to the office on or before day of the event.

Name of Event *

Event Description

Date of Event *

Time of Event (including set-up and clean-up) Ex: 2pm to 5pm *

Anticipated Number of Guest *

Please select the area(s) of the building you wish to use *

Will you need pastoral presence? Additional fee: $150 *

Contact Information of Person Requesting Space: *

First

Last

Are you a: *

Organization

Phone *

Email *

Best way to reach you: *

Questions or Concerns?

Comment

Let’s Keep in Touch

Email/Text Alerts

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Name *

First

Last

Phone Number Ex: 8888888888

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Email

Message

Genesis Lutheran Church, 7200 Mack Ave. Detroit, MI 48214

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