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Life Group room request
First Name
Last Name
Email
Phone Number
Name of event/class
Number of room desired
Event date(s)
Time of event
Frequency of event
Once
Daily
Weekly
Monthly
Other
Do you require childcare?
No
Yes
AV equiptment requested?
It is the responsibility of the group leader to return rooms as they were before you used them. Trash must be emptied if food is used or trash is full.
Submit