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Member or Regular Attender |
Non-member or Non-regular Attender |
Group Name | |
Contact Person | |
Address | |
City, State, and Zip Code | |
Home Phone | |
Work Phone | |
Email | |
Date of Use | |
Start Time (When entering the building) | |
End Time (When you will be out of the building) | |
Type of Event | |
Approximate Attendance | |
| Rooms you wish to use (Please check each desired area specifically, as you will be only permitted in that part of the building which you specifically request.) |
Fellowship Hall (gym) |
Kitchen (You need to contact a member of the Kitchen Committee for instructions in the use of the kitchen equipment and clean up procedures: Karen Dubach, Sonnie Litwiller, Sheryl Nussbaum, Ellie Stauffer, Jo Stauffer, Tami Steiner, or Karen Yoder.) |
West Classroom |
Middle Classroom |
East Classroom |
Sound System and/or Video Projector. (Cary Stauffer) |
List Equipment You Wish to Use, such as tables, chairs, basketball, volleyball (whole or 1/2 court), shuffleboard, etc. | |
| Once permission for use has been granted, you are responsible to contact the custodians regarding setup of tables and chairs and clean up. You are expected to assist the custodian in setting up and taking down tables and chairs. |
| By signing my name to this form, I agree to abide by the Fellowship Hall & Kitchen Policy of the Berne Evangelical church. Funerals and weddings will have first priority regardless of the event that is scheduled. |
Name | |
Date | |
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